OB DRUG CARDS

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Unformatted text preview: w in g I V a d m in . U s e o th e r r o u te s u n le s s r is k is ju s tifie d . U s e c a u t io u s ly in im p a ir e d liv e r fu n c t io n . S id e E f f e c t s : - e r y th e m a , p a in , a n d e d e m a a t s it e o f a d m in is t r a t io n . - a n a p h y la x is , h e m o ly s is , o r h y p e r b ilir u b in e m ia , e s p e c ia lly in a p r e t e r m in f a n t o r w h e n a la g e d o s e is u s e d . N e o n a t a l D o s a g e a n d R o u t e : 0 . 5 - 1 m g ( 0 . 2 5 - 0 . 5 m l o f s o lu t io n c o n ta in in g 2 m g /m l) g iv e n o n c e I M w it h in 1 h o u r o f b ir t h f o r p r o p h y la x is ( lo w e r d o s e is g iv e n to in f a n t s w e ig h in g le s s t h a n 2 5 0 0 g ) ; h ig h e r d o s e s o r r e p e a te d d o s e s m a y b e u s e d if t h e m o t h e r t o o k a n t ic o n v u ls a n t s d u r in g p r e g n a n c y o r if t h e in f a n t s h o w s b le e d in g t e n d e n c ie s . N u r s i n g Im p lic a t io n s : - p r o t e c t th e d r u g fr o m lig h t u n t il ju s t b e f o r e a d m in is t r a t io n . - b e c a u s e is d e c o m p o s e s a n d lo s e s p o te n c y o n e x p o s u r e t o lig h t . - o b s e r v e a ll in f a n t s f o r s ig n s o f v it a m in K d e fic ie n c y ( e c c h y m o s e s o r b le e id n g f r o m a n y s ite ) . - c h e c k th a t th e n e w b o r n h a s h a d v it a m in K b e f o r e a c ir c u m c is io n is p e r f o r m e d . R H o (D ) IM M U N E G L O B U L IN (R H O G A M , H Y P R H O D , G A M U L IN R H ) C l a s s i f ic a t i o n : C o n c e n t r a te d im m u n o g lo b u lin s d ir e c t e d to w a r d t h e r e d b lo o d c e ll a n tig e n R h o (D ). A c t i o n : p r e v e n t s p r o d u c t in o f a n t i- R h o ( D ) a n ti b o d ie s in R h - n e g a tiv e w o m e n w h o h a v e b e e n E x p o s e d t o R h - p o s it iv e b lo o d b y s u p r e s s in g t h e im m u n e r e a c t io n o f t h e R h - n e g a t iv e w o m a n t o t h e R h - p o s it iv e b lo o d . P r e v e n t s a n t ib o d y r e s p o n s e a n d t h e r e b y p r e v e n t s h e m o ly t ic d is e a s e o f t h e n e w - b o r n in f u tu r e R h - p o s it iv e p r e g n a n c ie s . U s e d b y m a le s a n d f e m a le s w h o a r e R h - n e g a t iv e b u t e x p o s e d t o R h - p o s it iv e b lo o d o r f o r im m u n e t h r o m b o c y to p e n ic p u r p u r a ( IT P ) . I n d ic a t io n s : g iv e n to R h - n e g a t iv e w o m e n w h o h a v e b e e n e x p o s e d t o R h - p o s it iv e b lo o d b y : - d e liv e r in g a n R h - p o s it iv e in f a n t ; a b o r t in g a n R h - p o s it iv e f e t u s ; u n d e r g o in g c h o r io n ic v illu s s a m p lin g , a m n io c e n t e s is , o r in t r a a b d o m in a l tr a u m a w h ile c a r r y in g a n R h p o s it iv e f e t u s ; r e c e iv in g in a d v e r t e n t tr a n s f u s io n o f R h - p o s it iv e b lo o d . C o n t r a i n d ic a t io n s / P r e c a u t io n s : w o m e n w h o a r e R h - p o s it iv e o r p r e v io u s ly s e n s itiz e d t o R h o ( D ) s h o u ld n o t r e c e iv e R h o ( D ) im m u n e g lo b u lin . U s e d c a u t io u s ly f o r w o m e n w it h p r e v io u s h y p e r s e n s it iv it y r e a c t io n s t o im m u n e g lo b u lin s . S id e E f f e c t s : lo c a l p a in a t in t r a m u s c u la r s it e , f e v e r, o r b o th . D o s a g e : O n e s ta n d a r d d o s e ( 3 0 0 m c g ) a d m in is te r e d I M , - a t 2 8 w e e k s o f p r e g n a n c y a n d w ith in 7 2 h o u r s o f d e liv e r y . - w it h in 7 2 h o u r s a f t e r te r m in a tio n o f a p r e g n a n c y o f 1 3 w e e k s o r m o r e o f g e s t a tio n . O n e m ic r o d o s e ( 5 0 m c g ) w ith in 7 2 h o u r s a f te r t h e t e r m in a t io n o f a p r e g n a n c y o f le s s th a t 1 3 w e e k s o f g e s ta tio n . D o s e is c a lc u la te d b a s e d o n t h e v o lu m e o f f e t a l- m a te r n a l h e m o r r h a g e o r R h - p o s itiv e b lo o d a d m in . in t r a n s f u s io n a c c id e n ts . A s t a n d a r d d o s e w ill p r o t e c t a g a in s t 3 0 m l o f R h - p o s itiv e w h o le b lo d o r 1 5 m l o f p a c k e d R B C s . N u r s i n g I m p l ic a t io n s : - p e r f o r m t y p e a n d a n t ib o d y s c r e e n o f m o th e r ’s b lo o d to d e t e r m in e t h e n e e d f o r m e d ic a t io n , - m o t h e r m u s t b e R h - n e g a tiv e a n d n e g a t iv e fo r R h a n t ib o d ie s , - n e w b o r n m u s t b e R h - p o s it iv e . I f f e ta l b lo o d t y p e a f t e r t e r m in a t io n o f p r e g n a n c y is u n c e r ta in , m e d ic a tio n s h o u ld b e a d m in is t e r e d , - t h e n e w b o r n m a y h a v e a w e a k ly p o s it iv e a n t ib o d y t e s t if t h e w o m a n r e c e iv e d R h o ( D ) im m u n e g lo b u lin d u r in g p r e g n a n c y , - d r u g is a d m in is t e r e d to t h e m o t h e r, n o t th e in fa n t, - t h e d e lt o id m u s c le is r e c o m m e n d e d f o r I M a d m in is tr a t io n O X Y T O C IN (P IT O C IN ) C l a s s i f ic a t i o n : O x y to c ic A c t i o n : S y n th e ti c c o m p o u n d i d e n t ic a l t o n a t u r a l h o r m o n e fr o m p o s te r i...
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This note was uploaded on 11/08/2010 for the course NUR 2000 taught by Professor Rn during the Spring '10 term at Florida State College.

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