an immunoglobulin (Ig), which
contains antibodies to the Rho(D)
antigen. prevents mom from
developing antibodies against
future Rh positive babies2
1500 international
units (300 mcg), IM, at
gestational week 26 to
28, or within 72 hours
of birth of an RHo (D)
positive baby.
Rhophylac(R): 1500
international units
IM
Uncommon and mild side effects, slight
temperature elevation.
not given to Rh positive women, previously
immunized with RhoGAM, newborn.
Name: Jessica Velasquez
(300 mcg), IV or IM,
at gestational week 29
to 30; repeat dose
within 72 hours of
birth of an RHo (D)
positive baby.
Betamethasone
Betamethasone
Valerate
If physicians expect that an infant
is going to be born preterm, they
can lessen these risks by injecting
the pregnant mother with a drug
called betamethasone.
Adult
Dosage: 0.6-7.2
mg orally divided
twice daily/four times
daily or 0.6-9 mg/day
intramuscularly each
day divided twice
daily.
IM,
PO
Increased blood sugar level.
Trembling, dizziness, weakness, fatigue,
and fast heartbeat.
Low potassium level, which can cause
muscle pain and cramps.
Skin changes, such as:
Signs of infection, including:
Mood and behavior changes.
Menstrual changes, such as spotting or
skipping a period.
Systemic fungal infection.
Hypersensitivity to betamethasone.
Traumatic brain injury (high doses)
Untreated serious infections.
Administration of live, attenuated vaccines is
contraindicated in patients receiving
immunosuppressive doses of corticosteroids.
Fentanyl
Sublimaze
-pain control
-sedation for invasive airway
procedures
2-20 mcg/kg/dose
initially; 1-2
mcg/kg/hr
maintenance infusion
IV; discontinue
infusion 30-60 min
prior to end of surgery;
limit total fentanyl
doses to 10-15 mcg/kg
for fast tracking and
early extubation
IV
CNS: altered mentation
Cardiovascular: bradycardia, hypotension
or hypertension
Respiratory: respiratory depression or
arrest
GI: nausea, vomiting
other: skin rashes, urinary retention,
pupil constriction
Significant respiratory depression
Acute or severe bronchial asthma in an unmonitored
setting or in the absence of resuscitative equipment
Known or suspected gastrointestinal obstruction,
including paralytic ileus
Hypersensitivity to drug or components of the
formulation
Within 2 weeks of monoamine oxidase inhibitor
(MAOI) use
Nubain
Nalbuphine
Moderate to severe pain
10 to 20 mg
IV,
IO,
SQ
- Sedation
- Dizziness
- Nausea
- Vomiting
- Opiate withdrawal
Hypersensitivity to the drug
Opiate dependence
Respiration depression
Zofran
Ondansetron
prevents nausea/vomiting by
blocking serotonin peripherally,
centrally, and in the small
intestine
Adults typically take
one 8-mg tablet or
rapidly disintegrating
tablet or 10 mL of
liquid twice a day.
PO,
IV
headache, dizziness, drowsiness, fatigue,
constipation, diarrhea, bronchospasm,
musculoskelectal pain, wound problems,
shivering, fever, hypoxia, urinary
retention
pregnancy (b), breast feeding, children, geriatric pts,
granisetron hypersensitivity
Reglan
Metacl
opramine
Nausea and vomiting
10mg Adult
5mg Peds
IV IM
Metoclopramide: restlessness, agitation,
extrapyramidal symptoms, sedation.
Increased GI motility - do not use if
suspected bowel obstruction.
