Action Why this drug is prescribed for THIS Patient Systemic vasodilation

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.

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