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Maternity drug review- sherry

Maternity drug review- sherry - Drugs for Maternity Labor...

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Drugs for Maternity: Labor/ Delivery: Makes Pregnancy Go 1. Oxytocin (Pitocin): synthetic oxytocin delivered IV. Produce contractions that mimic labor. Potential problems: uterine tetany, fetal distress. STOP infusion if contractions are less than 2 minutes or last longer than 90 seconds . Usually mixed with LR or NS. Assess fetal monitoring before administration. DO NOT use Pitocin if Placenta previa; abruptio placenta Fetal distress Bradycardia (fetal) under 110 bpm Prolapsed umbilical cord Active genital herpes infection Late decelerations (STOP infusion). Late decelerations are decelerations of the FHR that begins after the contraction starts, with nadir occurring after peak of contraction and returns to baseline at end of contraction. Indicative of utero-placental insufficiency. 2. Prostaglandins (Cervidil, Prepidil): softening and effacement (thinning and shortening of the cervix), cervical ripening. Potential side effects: abdominal cramping, N&V, diarrhea. Continuous monitoring of FHR, uterine activity, & maternal vital signs. 3. Misoprostol (Cytotec): synthetic prostaglandin administered orally or intravaginally to produce contractions. Potential problems: sudden onset of hypertonic contractions and elevated resting tone of the uterus which may lead to fetal distress. May be used for termination of pregnancy. Inform patient that misoprostol will cause spontaneous abortions Avoid GI irritation Same as prostaglandins Drugs for Maternity: Labor/ Delivery: Slows labor down 4.
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