OB Concept Map .pdf - Running head CONCEPT MAP Concept Map...

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Running head: CONCEPT MAP Concept Map Rose Ghassemi West Coast University
Name Dose RT Freq. MOA RN Considerations Onset/Peak/Durati on (Insulin) Methylergonovine (Methergine) 0.2 mg IM PRN; for bleeding if BP <140/90 Increases the rate, tone and amp of rhythmic contractions on the smooth muscle of the uterus. This shortens the third stage of labor and reduces blood loss and risk of hemorrhage. -Monitor BP to ensure it is less then 140/90; this medication can induce hypertension -Assess calcium levels; the effectiveness of this medication can decrease if patient is hypo calcemic. -Monitor uterine bleeding Onset: 2-5 min Duration: 3 hours Ibuprofen (Motrin) 600 mg Oral Q8h Inhibits prostaglandin synthesis. Decreases pain and inflammation and reduces fever. This medication was given to manage the patients pain from childbirth. -Assess patient’s pain level 30 mins after administration -Instruct patient not to drink alcohol while taking this medication. -Instruct patient to take medication with water and food. -Assess patient for skin rash and/or Steven-Johnson syndrome. Onset: 24-30 min Peak: 2 hours Duration: 4-6 hours Calcium Carbonate (Tums) 500 mg Oral PRN; for heartburn Acts by neutralizing the acid in the stomach by inhibiting the proteolytic enzyme pepsin. An increase in pH may inhibit the action of pepsin. -monitor parathyroid hormone -monito hemodynamics -may cause hypotension, bradycardia, arrhythmias -monitor cardiac functions; may cause arrhythmias and cardiac arrest -monitor calcium intake; hypercalcemia may increase risk for digoxin toxicity Onset: rapid Peak: 30 min Duration: 60 min Carboprost (Hemabate) 250 mg IM PRN; postpartum hemorrhage This medication helps to control blood pressure and muscle contractions; binds to prostaglandin receptor which causes uterine muscle contractions. This medication helps assist with the induction of labor and/or the expulsion of the placenta. -Assess for nausea and vomiting -Monitor vaginal discharge -Auscultate breath sounds -Monitor temp, pulse, BP -Monitor frequency/duration/force of contractions -Assess/monitor uterine resting tone Onset: 5-10 min Peak: 20-30 min Duration: 60 min Docusate (Colace) 100 mg Oral PRN This medication is a stool softener and aids the bowel in passage of feces -Ensure adequate hydration; increase fluids -Educate patient to not take for prolonged periods -Assess for stomach cramps -Increase patient’s intake of fiber. Onset: 24-48 hours Peak: unknown Duration: 24-72 hours Labetalol (Trandate) 20mg; 5mg/mL IV Once This route and dosage are used to control hypotension during anesthesia. -know contraindications for this medication: liver disease, renal impairment, symptomatic bradycardia, diabetes mellitus, skin rash or dry eyes, etc. -monitor glucose levels, for signs of hypoglycemia -Fall risk precautions -Monitor for urinary retention -Monitor BP Onset: 2-5 min Peak: 5-15 min Duration: 3-4 hours (2019 Nurses Drug Handbook, 2019).
Medical History Continued: Kidney Stones : Kidney stones are very painful to pass, but as long as they are caught early, they do not cause any permanent trauma. The expulsion of

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