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Assess bowel function. Narcan is respiratory depress ion antidote. Orthostatic hypotension-change positions slowly. Crosses placenta and breast milk - may cause respiratory depression in new born.Terbutalin✓Trade Name: Brethine✓Classification: adrenergics✓Dosage/Route/Frequency: IV 2.5-10 mcg/min infusion; Increase by 5 mcg/min q 10 min. until contractions stop (do not exceed 30 mcg/min) After contractions have stopped for 30 min reduce infusion rate to lowest effective amount and maintain for 4-8 hr.✓Action: Relaxes muscles in the uterus. Management of pre-term labor. Used to arrest labor.✓Side Effects: angina or chest pain, irregular heartbeats or a fluttering heart, seizures, tremor, weakness, headache, nausea, and vomiting✓Nursing Implications:(Considerations) : Monitor maternal pulse and BP, frequency and duration of contractions and FHR. Notify provider if contractions persist or increase in frequency or fetal distress occur.Unisom
Sleep aid and help relieve allergy and cold symptoms. s/e : drowsiness, dizziness, h/a, constipation, stomach upset, blurred vision. Decreased coordination, dry mouth/nose/ throat.UnasynAntibacterial , used for treating infections due to susceptible strains of the designated microorganism.s/e: pain at injection site, diarrhea, and rash. VancomycinUsed for bacterial infections s/e: pain, rednes, and tenderness. “RED MAN SYNDROME”Vistaril✓Generic Name: jhydroxyzine✓Classification: adrenergics✓Dosage/Route/Frequency: : PO 25-100mg 4 times /day, max 600mg/day; IM 0.5-1 mg q 4-6hr✓Action: postpartum mood disorders, sedation, to potentiate opioid analgesics, pruritis, allergic reaction. Depresses sub-cortical levels of CNS,including limbic system, reticular formation; competes with H1-receptor sites✓Side Effects: extreme drowsiness✓Nursing Implications:(Considerations): Instruct patient to avoid driving & alcohol, rise slowly, do not stop taking abruptly. assess mental status, PO take with food/milk, IM use Z-track method in large muscle, never give IV/subQ, assist with ambulation.Zofran Prevent nausea and vomiting.
s/e: h/a, lightheadedness, dizziness, drowsiness, tiredness, or constipation. Postpartum ColaceFor constipation s/e: stomach pain, diarrhea, or cramping. DarvocetDemerol Dermoplast✓Trade Name: Dermoplast spray✓Classification: anesthetics✓Dosage/Route/Frequency: spray to affected area not more than 3 to 4 times daily✓Action: Inhibits initiation and conduction of sensory nerve impulses. Used to relieve perineal pain and discomfort postpartum especially if the patient underwent an episiotomy.✓Side Effects: N/A✓Nursing Implications:(Considerations) : Instruct patient to keep the perineal area clean.Contact doctor if condition worsens. Assess integrity of skin before and during therapy. Assess type, location, and intsensity of pain before and a few minutes after administration.