Observe for 20 minutes after for allergic reaction. CBC Pregnancy Category C No known effect on lactation Hydromorphone (Dilaudid) L3 Moderate to severe pain. Dosage: PO (oral solution) 2.5-10 mg Inhibits ascending pain pathways in CNS, increases pain threshold, alters pain perception. Drowsiness, dizziness, confusion, headache, sedation, euphoria, mood changes. Palpitations, peripheral vasodilation. N/V, Check I & O ratio: check for decreasing output; may indicate urinary retention. CNS changes: dizziness, drowsiness, hallucinations, Electrolytes Pregnancy Category C Maternal use of oral narcotics during breastfeeding can cause
NURS 317 Medication Cards Medication and Lactation Risk Classification Uses/Purpose Mode of Action Side Effects/Adverse Reactions/ Contraindications/ Nursing Implications Patient Response/Assessment Labs Hales /Lactmed App Breastfeeding Classification q3-6hr or (tabs) 2-4 mg q4-6hr IM/SUBCUT 1-2 mg q4-6hr PRN cramps, constipation, dry mouth. Increased urinary output, dysuria, urinary retention. Rash, flushing, dyspnea. Precautions: Breastfeeding, labor, abrupt discontinuation. Contraindications: Obstetric delivery. Black Box Warning: Respiratory depression, opioid-naïve patients. euphoria, LOC, pupil reaction. Bowel function, constipation. Pain level. infant drowsiness, CNS depression & even death. PgE2 Dinoprostone (Cervidil) L2 To terminate pregnancy from twelfth week through second trimester as calculated from first day of last regular menstrual period; to evacuate uterine contents in management of missed abortion or intrauterine fetal death up to 28 wk gestational age; to manage benign hydatidiform mole; cervical ripening prior to labor induction. Dosage: 0.5 mg can repeat in 6 hours – 3 dose max/24 hr Synthetically prepared member of the prostaglandin E 2 series that appears to act directly on myometrium and on gastrointestinal, bronchial, and vascular smooth muscle. Headache, tremor, tension. Transient hypotension, flushing, cardiac arrhythmias. N/V, diarrhea. Vaginal pain, endometritis, uterine rupture. Dyspnea, cough, hiccups. Chills, fever, dehydration, diaphoresis, rash. Monitor uterine contractions and observe for and report excessive vaginal bleeding and cramping pain. Abortion usually occurs within 30 h. When used in conjunction with oxytocin, time may be shortened to 12–14 h. Monitor vital signs. Pregnancy Category C Dinoprostone has been used to inhibit postpartum lactation and engorgement by reducing serum prolactin concentrations.
NURS 317 Medication Cards Medication and Lactation Risk Classification Uses/Purpose Mode of Action Side Effects/Adverse Reactions/ Contraindications/ Nursing Implications Patient Response/Assessment Labs Hales /Lactmed App Breastfeeding Classification Americanine spray Anesthetic for reducing pain Dosage: apply QID as needed Inhibits conduction of nerve impulses from sensory nerves Local irritation, pain.
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- Fall '15
- Obstetrics, pains, Drowsiness, Hales