Copyright 2017 Wolters Kluwer All Rights Reserved Oxytocics cont Oxytocics cont

Copyright 2017 wolters kluwer all rights reserved

This preview shows page 35 - 47 out of 48 pages.

Copyright © 2017 Wolters Kluwer • All Rights Reserved Oxytocics (cont.) Oxytocics (cont.) Adverse Effects Excessive effects: uterine hypertonicity and spasm GI upset (nausea) Headache Blood pressure changes Water intoxication
Image of page 35
Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Patients Receiving Oxytocic's Nursing Considerations for Patients Receiving Oxytocic's Assess- History and physical Known allergy Current status of pregnancy or lactation uterine atony, undesirable fetal position, and cephalopelvic disproportion Neurological status, fetal status and labor pattern
Image of page 36
Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Oxytocics Prototype Oxytocics
Image of page 37
Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Oxytocics (Continued) Prototype Oxytocics (Continued)
Image of page 38
Copyright © 2017 Wolters Kluwer • All Rights Reserved QuestionQuestionTell whether the following statement is true or false.Fertility drugs act by stimulating the pituitary to increase FSH and LH levels, leading to ovarian follicular development and maturation of ova.
Image of page 39
Copyright © 2017 Wolters Kluwer • All Rights Reserved
Image of page 40
Copyright © 2017 Wolters Kluwer • All Rights Reserved Abortifacients Abortifacients Evacuate uterine contents via intense uterine contractions Carboprost ( Hemabate ) Dinoprostone ( Cervidil , Prepidil Gel , Prostin E2 ) Mifepristone (RU-486, Mifeprex )
Image of page 41
Copyright © 2017 Wolters Kluwer • All Rights Reserved Abortifacients Abortifacients Actions Stimulate uterine activity Dislodge any implanted trophoblast and preventing implantation of fertilized egg Indications Termination of pregnancy at 12-20 weeks Pharmacokinetics Well absorbed, metabolized in the live and excreted in the urine
Image of page 42
Copyright © 2017 Wolters Kluwer • All Rights Reserved Abortifacients (cont.) Abortifacients (cont.) Caution Asthma, hypertension, or adrenal disease Acute vaginitis or scarred uterus Adverse Effects Abdominal cramping Heavy uterine bleeding Perforated uterus or uterine rupture Headache, nausea, vomiting, diarrhea, diaphoresis, backache, and rash
Image of page 43
Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Patients Receiving Abortifacients Nursing Considerations for Patients Receiving Abortifacients Assess- History and physical Known allergy PID, cardiac, hepatic, pulmonary, or renal disease problems Asthma, psychological status, LMP VS, lung sounds, pelvic exam, vaginal discharge, uterine tone and appropriate lab values
Image of page 44
Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Abortifacients Prototype Abortifacients
Image of page 45
Copyright © 2017 Wolters Kluwer • All Rights Reserved Tocolytics Tocolytics Hydroxyprogesterone caproate is the only drug approved for this purpose in the United States.
Image of page 46
Image of page 47

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture