OB drugs Flashcards
Aquamephyton Indication
for a newborn
Aquamephyton Contraindications
Hypersensitivity to phytonadione (Vitamin K )
Aquamephyton Indication for Use
Provides the newborn with vit K during the first week of birth until newborn can make it. Prevents vitamin K deficiency bleeding of the newborn.
Aquamephyton side effects
Injection site reaction, flushing, cyanosis, dyspnea, hypotension, tachycardia
Aquamephyton Nursing implications
When do you administer?
How do you administer?
Administer within 1-2 hours after birth.
Given IM- vastus lateralis
Slowly injected
Betamethasone indication
Antepartum
Betamethasone contraindications
Hypersensitivity, IM contraindicated in pts with ITP
Betamethasone USE
Fetal lung maturity- stimulates surfactant production
Prevents/reduces respiratory distress syndrome and intraventricular hemorrhage in the preterm neonate less than 34 weeks
Betamethasone Side effects
N/V, increased appetite, weight gain, restlessness, adrenal suppression, immunosuppression, hyperglycemia, peptic ulcer
Betamethasone Nursing Implications
2 IM doses 24 hrs apart
Monitor - maternal infection/pulm edema /signs of infection /lung sounds
Calcium Gluconate Indication
Ante/Intra/Postpartum
Calcium Gluconate contraindications
Patients with hypercalcemia
Calcium Gluconate indication for use
-Dietary supplement for calcium deficiency
-Reversal agent for magnesium toxicity from magnesium sulfate
Calcium Gluconate side effects
Fatigue, arrhythmia, bradycardia, tingling sensation, constipation, muscle weakness
Calcium Gluconate Nursing implications
Assess heart rhythm with EKG monitoring
Stool softeners for constipation
Assess hypercalcemia
Cervidil Indication
Intrapartum
Cervidil contraindications
Patients in whom induced labor and oxytocic drugs are contraindicated.
Hx of cesarean or major uterine surgery
Prolonged uterine contractions
Cephalopelvic disproportion
Cervidil indication for use
Directly softens and dilates the cervix to ripen cervix and induce labor
Termination of intrauterine pregnancy
Cervidil side effects
HA, N/V/D
Cervidil Nursing Implications
Assess degree of effacement and dilation
Monitor uterine contractions for freq, duration, and strength , assess maternal VS and FHR pattern freq
Dermoplast indication
postpartum
Dermoplast contraindications
Hypersensitivity to benzocaine
Dermoplast indication for use
Temporary relief of perineal pain and discomfort
Dermoplast side effects
Contact dermatitis
Dermoplast nursing implications
Assess patients pain level and perineal site and perineal site
Provide topical spray to increase in pain or bowl movement/urination to reduce pain
Erythromycin Ophthalmic Indication
Newborn
Erythromycin Ophthalmic contraindications
Hypersensitivity to erythromycin
Erythromycin Ophthalmic Indication for use
Provides bactericidal and bacteriostatic actions to prevent Neisseria gonorrhea and chlamydia trachomatis conjuctivitis.
Prevents ophthalmic neonatorum.
Erythromycin Ophthalmic side effects
Eye redness
Erythromycin Ophthalmic nursing implications
What for chemical conjuctivitis for 1-2 days, wear gloves
wipe off excess after 1 minute