Action Why this drug is prescribed for THIS Patient Systemic vasodilation

Action why this drug is prescribed for this patient

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Action & Why this drug is prescribed for THIS Patient Systemic vasodilation-Lowers B/P in laboring women What reflects a positive outcome Of this medication for this patient. Stable blood pressure with no adverse effects for baby. Major Side Effects: Include herb/drug interactions. Headache. Arrhythmias Category C for pregnant women. Use only if potential benefits justifies potential risks during lactation Priority Nursing Actions; (Assessment, VS, Lab test to check, etc). List at least 3 priority nursing actions for this drug. Be specific for this patient. Monitor BP; hypotension. Assess for rash periodically Monitor EKG.
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Trade Name Classification Misoprostol Cytotec prostaglandin Frequency Route Dosage Range Most common regimen 25 mcg every 3-4 hours until labor ensues Intra Vaginal - Tablet placed next to cervix at various frequencies Doses of 25, 50, or 100 mcg *can used intrapartum and antepartum* Action & Why this drug is prescribed for THIS Patient Can induce structural changes in the cervix, resulting in softening and dilation; sometimes contractions. Can also be used for pregnancy termination. What reflects a positive outcome Of this medication for this patient? Cervical ripening and labor induction. Termination of pregnancy. Major Side Effects: Include herb/drug interactions. May cause severe diarrhea in nursing infant GI-abdominal pain, diarrhea GU-miscarriage CNS-headache Priority Nursing Actions; (Assessment, VS, Lab test to check, etc). List at least 3 priority nursing actions for this drug. Be specific for this patient. Not FDA approved for induction Assess patient routinely for epigastric/abdominal pain, occult blood in stool, emesis, or gastric aspirate Assess dilation of cervix periodically during therapy. Monitor uterine cramping and bleeding with termination of pregnancy Generic Name Trade Name Classification morphine sulfate Duramorph Opioid agonist analgesic Route Dosage Range SC/IM/IV 5-20 mg SC/IM Q4 prn 4-10 mg over 4-5 minutes IV Action & Why this drug is prescribed for THIS Patient Alters perception of and response to painful stimuli, producing generalized CNS depression by binding to opiate receptors. What reflects a positive outcome Of this medication for this patient? Management of severe acute pain Analgesia during labor Major Side Effects: Include herb/drug interactions. CNS-confusion, sedation, shock, increased ICP RESP-respiratory depression, apnea CV-severe hypotension, bradycardia, CA, edema GI-constipation, paralytic ileus, N/V/D Priority Nursing Actions; (Assessment, VS, Lab test to check, etc). List at least 3 priority nursing actions for this drug. Be specific for this patient. Contradicted <24 hours postoperative (opioid-naïve, ER form) labor and delivery Closely monitor for respiratory depression Assess LOC, BP, pulse, and respirations before and periodically during treatment. If respiratory rate is
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<10/min, assess level of sedation.
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  • Spring '18
  • C. Hogan
  • Obstetrics, Headaches, priority nursing actions

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