blockers , adrenergic antagonists ( prazosin , labetalol ), and theophylline may be ↑ upon smoking cessation; dose ↓ at cessation may be necessary.
Trade Name: Rhogam Classification : vaccines/immunizing agents Uses : Administered to Rho (D)-negative patients who have been exposed to Rho (D)-positive blood. Action : Prevent production of anti-Rho (D) antibodies in Rho (D)-negative patients who were exposed to Rho (D)-positive blood. Contraindications: Prior hypersensitivity reaction to human immune globulin; Rho (D)- or Du-positive patients. Side effects: DISSEMINATED INTRAVASCULAR COAGULATION, INTRAVASCULAR HEMOLYSIS, anemia Nursing implications : Monitor patient for signs and symptoms of intravascular hemolysis (IVH) (back pain, shaking chills, fever, hemoglobinuria), anemia, and renal insufficiency. If transfusions are required, use Rho (D)-negative packed red blood cells to prevent exacerbation of IVH. Dosage : Following Delivery IM: (Adults) HyperRHO S/D Full Dose, RhoGAM– 1 vial standard dose (300 mcg) within 72 hr of delivery. Before Delivery IM: (Adults) HyperRHO S/D Full Dose, RhoGAM– 1 vial standard dose (300 mcg) at 26–28 wk. Termination of Pregnancy (<13 wk Gestation) IM: (Adults) HyperRHO S/D Mini-Dose, MICRhoGAM– 1 vial of microdose (50 mcg) within 72 hr. Interactions : May ↓ antibody response to some live-virus vaccines ( measles , mumps , rubella ).
Trade Name: Rubella Vaccine Classification : Vaccine Combinations with Measles/Mumps Component Uses : immunity against measles (rubeola), mumps, and rubella (German measles) Action : Combination of three live virus vaccinations intended to confer immunity against measles (rubeola), mumps, and rubella (German measles); commonly used in routine childhood vaccinations. Contraindications : Severe allergy to gelatin Side effects : injection site reactions (pain, redness, swelling, or a lump), fever, irritability, mild swollen glands (lymph nodes), measles-like rash, hives, tiredness, sore throat, dizziness, headache, nausea, vomiting, diarrhea, body aches, cough, runny nose & tiredness Nursing implications : assessment of injection site. Dosage : 0.5 mL subcutaneously. The Advisory Committee on Immunization Practices (ACIP) recommends a 2-dose vaccine schedule during childhood for MMR. For routine immunization, the recommended schedule is administration of the first dose at age 12 to 15 months and the second dose at age 4 to 6 years Interactions : promotes the production of antibodies for rubella virus.
Trade Name: Maalox Classification : antacids Uses : Useful in a variety of GI complaints, including: Hyperacidity, Indigestion, GERD, Heartburn. Action : Neutralize gastric acid following dissolution in gastric contents. Contraindications : Severe abdominal pain of unknown cause, especially if accompanied by fever Side effects : aluminum salts: constipation magnesium salts: diarrhea Nursing implications : To prevent tablets from entering small intestine in undissolved form, they must be chewed thoroughly before swallowing. Follow with at least ½ glass of water. Dosage : PO: (Adults and Children ≥12 yr): 5–30 mL or 1–2 tablets 1–3 hr after meals and at bedtime. Interactions : Absorption of tetracyclines , phenothiazines , ketoconazole , itraconazole , iron salts , fluoroquinolones , and isoniazid may be ↓ (separate by at least 2 hr).
Trade Name: Pneumococcal Vaccine Classification : Vaccines, Inactivated, Bacterial Uses : Indicated for active immunization for the prevention of pneumococcal disease caused by the 23 serotypes contained in the vaccine Action : Exposes body to live weakened Contraindications
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- Fall '19