Side effects : abdominal pain, diarrhea, constipation, dyspepsia, flatulence, nausea, vomiting Nursing implications : Assess patient routinely for epigastric or abdominal pain and for frank or occult blood in the stool, emesis, or gastric aspirate. Dosage : PO: (Adults) Antiulcer– 200 mcg 4 times daily with or after meals and at bedtime, or 400 mcg twice daily, with the last dose at bedtime. Intravaginally: (Adults) 25 mcg (1/4 of 100– mcg tablet); may repeat q 3–6 hr, if needed. Interactions : ↑ risk of diarrhea with magnesium-containing antacids .
Trade Name: Pitocin Classification : oxytocics Uses : IV: IM: Postpartum control of bleeding after expulsion of the placenta. Action : Has vasopressor and antidiuretic effects. Stimulates uterine smooth muscle, producing uterine contractions similar to those in spontaneous labor. Contraindications : Hypersensitivity; Anticipated nonvaginal delivery. Side effects : Maternal - COMA, SEIZURES. Fetal - INTRACRANIAL HEMORRHAGE Nursing implications : Monitor maternal BP and pulse frequently and fetal heart rate continuously throughout administration. Dosage : Labor Inducer - IV: (Adults) 0.5–1 milliunits/min; ↑ by 1–2 milliunits/min q 30–60 min until desired contraction pattern established; dose may be ↓ after desired frequency of contractions is reached and labor has progressed to 5–6 cm dilation. Postpartum Hemorrhage - IV: (Adults) 10 units infused at 20–40 milliunits/min. IM: (Adults) 10 units after delivery of placenta. Interactions : Severe hypertension may occur if oxytocin follows administration of vasopressors .
Trade Name: Hydrocodone/Acetaminophin Classification : opioid agonists nonopioid analgesic combinations Uses : Management of pain that is severe enough to warrant daily, around-the-clock, long-term opioid treatment where alternative treatment options are inadequate. Action : Management of pain that is severe enough to warrant daily, around-the-clock, long-term opioid treatment where alternative treatment options are inadequate. Contraindications : OB: Lactation:Avoid chronic use; Products containing alcohol, aspartame, saccharin, sugar, or tartrazine (FDC yellow dye #5) should be avoided in patients who have hypersensitivity or intolerance to these compounds. Side effects: confusion, dizziness, sedation, euphoria, hallucinations, headache, unusual dreams Nursing implications: PO: May be administered with food or milk to minimize GI irritation. Dosage : Analgesic– 2.5–10 mg q 3–6 hr as needed; if using combination products, acetaminophen dosage should not exceed 4 g/day and should not exceed 5 tablets/day of ibuprofen- containing products; Antitussive– 5 mg q 4–6 hr as needed; Extended-release (Zohydro ER)– 10 mg q 12 hr; may ↑ as needed in increments of 10 mg q 12 hr q 3–7 days; Extended- release (Hysingla)– 20 mg once daily; may ↑ as needed in increments of 10–20 mg/day q 3–5 days.
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- Fall '19