Med Cards Flashcards

Question

Ibuprofen(**Motrin**) Indications?

Answer 1

**pain, fever**

Answer 2

Bleeding, avoid after 30wk gestation (May cause premature closure of ductus arteriosis)

Answer 3

Neonate: IV (gestational \< or = 32 wks 500-1500g) 10mg/kg --\> 2 doses of 5 mg/kg @ 24/48 hrs after initial dose

Answer 4

GI bleed, constipation, N/V, headache

Answer 5

Monitor neonates for bleeding, infection and decrease in urine output. monitor IV site for extravasation **Post labor- incision pain. Women still clot so not too worried about bleeding. At risk for DVT.**

Answer 6

Antiflatulent

Answer 7

Passage of gas through GI tract by belching or passing flatus.

Answer 8

Relief of painful symptoms of excess gas in the GI tract. **(Used after c/s)**

Answer 9

Not recommended for infant colic

Answer 10

Adults PO 40-125mg QID after meals & @ bedtime (MAX 500mg/day)

Answer 11

Assess for abdominal pain, distention & bowel sounds. Assess for freq. of flatus & belching

Answer 12

**Oxytocic**

Answer 13

Stimulates uterine smooth muscle resulting in increased **strength, duration and freq. of uterine contractions**.

Answer 14

**Induction or augmentation** of labor at or near term. Maintenance of firm U/C after birth to control bleeding. Management of inevitable or incomplete abortions.

Answer 15

Placenta previa, vasa previa, nonreasurring FHRP

Answer 16

**IVPB,** controlled w/pump. Various dilutions may be used. Postpartum bleeding: dilute 10-40 Units in loo mL of IV sol. begin rate @ 20-40mU/min -- increase or decrease rate acc. to uterine response. **(May be given IM)** Inevitable or incomplete abortion: 10 unitsin 500 mL at a rate of 10-20 milliunits/min.

Answer 17

Uterine rupture, decreased uterine blood flow, abrupto placentae

Answer 18

Assess FHR for 20 min before inducation. perform leoplus or vaginal exam to verify cehalic fetal presentation. Observe uterine activity, MOnitor uterus for firmness (postpartum) massage until firm if soft or "boggy" Observe for craping/bleeding, clots, passage of conception. Monitor vitals, I/O

Answer 19

Concentrated **immunoglobulins **directed toward RBC antigen Rho (D)

Answer 20

Prevents production of anti- Rho(D) antibodies in Rh(-) women who have been exposed to Rh (+) blood by supressing immune reaction. Prevents antibody repsonse & prevents hemolytic disease of newborn in future pregnancies of women who have concieved Rh (+) fetus.

Answer 21

**Rh (-) women delivering an Rh (+) infant, aborting Rh (+) fetus, accidental transfer of Rh (+) blood to Rh (-) woman**

Answer 22

Rh (+) woman or women previously sensetized.

Answer 23

**one standard IM dose @ 28Wks of preg. & w/in 72 hrs of delivery. **w/in 72 hrs following termination of a preg. of 13 wks or more of gestation.

Answer 24

local pain @ IM site, fever

Answer 25

Type & screen mothers blood & cord of newborn to determine need of med. Drug is gievn to mother- NOT INFANT. Use Delotid.

Answer 26

Attenuated live virus vaccine/ **Immunizing Agent\***

Answer 27

produces a modified rubella (german measels) infection that is not communicable, causing formation of antibodies against rubella virus.

Answer 28

**Admin at least 1 month before preg. or after childbirth** or abortion for women whose antibody screen shows no immunity to Rubella. **Prevents** Rubella & **severe congenital defects in fetus & subsequent pregnancy**

Answer 29

Immunocompromised. The attenuated virus may appear in the breastmilk & some infants may develop a reash but not contraindicated in lactation.

Answer 30

0.5 mL **Subcut**

Answer 31

Stinging@ site, fever, lymphadenoathy, trasient arthritis

Answer 32

Vials should be refrigerated. Use immediately after reconstituting. Protect form light. Avoid pregnancy for 4 wks **after vaccine**

Answer 33

**Beta adrenergic, tocolytics\*** Antidote: propanolol (Inderal)

Answer 34

Bronchodilation (decrease contractions)

Answer 35

**Manage preterm labor (tocolytic) **

Answer 36

Prolonged parenteral use longer than 48-72hrs or prolonged treatment with oral Terbutaline.

Answer 37

PO (adults & child \> 15 y/o) 2.5-5mg TID (Q 6 hrs- not to exceed 15 mg/24hr) SC (adults and child ≥12) 250mcg (may repeat in 15-30 min (not to exceed 500mg/4hrs) IV (adults) Tocolytics - 2.5- 10 mcg/min, increase by 5 mcg/min Q 10 min until contractions stop. After U/C have stopped for 30 min, Decrease infusion rate to lowest effective amt. & maintain for 4-8 hr. **DONT GIVE TO DIABETIC**

Answer 38

**maternal & Fetal tachycardia**, Maternal decease in BP, dysrhythmias, **chest pain** ,Pulmonary edema, **headache, tremors, restlessness, flushing.**

Answer 39

Assess womans apical heart rate & lungs before admin. Monitor FHR. **If maternal HR \> 120 bpm**- May indicate toxicity & may need to stop med. Teach to take pulse

Answer 40

Fat double vitamin & antihemorrhagic/ **coag. & clotting factor**

Answer 41

Promotes formation of factors II,VII, IX, X by the liver for clotting

Answer 42

Prevention or treatment of Vit. K deficiency, bleeding (can't synthesize)

Answer 43

Hypersenstitivity

Answer 44

Neonate: 0.5-1 mg given once **IM **w/in 1 hr of birth for prophylaxis. May be delayed until after 1st breastfeeding in delivery room. May be repeated or higher dosed used if mother took anticonvulsants during preg.

Answer 45

Erythema, pain & edema @ inj. site, Hemolysis or hyperbiliruinemia.

Answer 46

Protect drug from light until admin because it loses potency. Observe all infants for Vit. K deficiency, ecchymosis or bleeding. Check to see if Vit K was given before circumcision.

Answer 47

**Opioid agonist-antagonist** Antidote: Narcan

Answer 48

Binds to opiate receptors- decreases pain r/t labor

Answer 49

labor pain

Answer 50

Patients physically dependant on opiates & who havent been detoxified because it may precipitate witdrawal.

Answer 51

10-20mg Q 3-6 hrs IV, may be given by PCA

Answer 52

N/V, pruritis, resp. depression, dizziness, confusion, dry mouth, clammy skin, sweating

Answer 53

Record baseline maternal vitls & FHRP before & after admin. Monitor for Resp. depression **DONT GIVE TO OPIATE DEPENDENT**

Answer 54

**CCB**, antihypertensive, **tocolytic**

Answer 55

Inibits Ca transport into myocardial & smooth muscle (uterus) cells resulting in inhibtion of contraction. systemic vasodil= decreased BP

Answer 56

manage hypertension, **PTL**

Answer 57

SBP \< 90 mmHg, 2nd or 3rd degree AV block (unless pacemaker)

Answer 58

PO Adults 10-30mg TID (not to exceed 180mg/day) 10-20mg BID as immediate release. 30-90mg/1 per day sustained release

Answer 59

Flushing, headache, increase in maternal and fetal Heart rate, orthostatic hypotension

Answer 60

Observe for side effects & report if maternal pulse\> 120 BPM. Teach about poss. dizziness/ fainting w/hypotensive effects. sit/stand slowly or call for assist.

Answer 61

**opioid antagonist**

Answer 62

**Reverses CNS & Resp. Depression** causes by opiates competes for receptor sites. (may be given for puritis from epidural)

Answer 63

Severe resp. depression in **newborn** when mother has recieved narcotics w/in 4 hrs of birth.

Answer 64

**If given to an infant of a mother addicted to opiates it will cause withdrawl & may cause seizures. **

Answer 65

Neonates: 0.1mg/kg Given IV,IM,SQ, or endotrach IV perferred route during neonatal resucitation (Onset of action 1-2 min if IV)

Answer 66

Vent. arrhythmias

Answer 67

when depression of opiates is expected, prepare syringe before birth by drawing up more than needed. After birth, excess is removed from syringe & amt. given is acc. to wt. Monitor Vitals (RR)

Answer 68

Misc. **anticonvulsant & tocolytic ** Antidote: Calcium Gluconate

Answer 69

decreased ach released by motor nerve impulses, thereby blocking neuromuscular transmission. **Depressess CNS. decreased frq. & intensity of uterine contractions. Inhibits preterm labor. **

Answer 70

Prevents & controls seizures in severe **preclampsia. **Prevention of uterine contractions in preterm labor.

Answer 71

myocardial damage, heart bloc, myasthenia gravis, impaired renal function.

Answer 72

Loading dose 4-6grams administered in 100mL IV fluid over 15-20 min. Cont. infusion to maintain control is commonly 2g/hr. Deep IM is acceptable but painful.

Answer 73

Mg overdose, **flushing**, sweating, hypotension, **depressed deep tendon reflexes**, CNS & **resp. depression**

Answer 74

Monitor BP, **RR, Sat, Deep tendon reflexes, urinary output** of \> 30 mL/hr before admin. Keep O2& suction in room. Keep antidote nearby.

Answer 75

Vaccine/ **Immunizing agent\*/ Immunoglobulin **

Answer 76

**Prevent hep B. **

Answer 77

any @ risk population

Answer 78

Hypersensitivity to yeast

Answer 79

Recommend for **newborns** (1st dose before discharge or @ infants 1st ped. visit). 2nd dose @ 2 mo 3rd dose- 6-18 mo. IM 0.5 mL **3 DOSES**

Answer 80

local soreness

Answer 81

Assess for adverse reactions. Give IM

Answer 82

**Prostoglandin, Oxytocic\***

Answer 83

Stimulates contaction of uterus

Answer 84

**Used for treatment of postpartum hemorrhage caused by uterine atony. Also used ofr abortion. **

Answer 85

acute pelvic inflammatory disease, cardiac, pulmonary, hepatic, renal disease, asthma

Answer 86

Postpartum hemorrhage: 250 mcg Im, May repeat @ 15-90 min intervals. Max total dose 2 mg.

Answer 87

Excessive dose may cause tetanic conraction & laceration or uterine rupture. N/V, **diarrhea**, fever, chills, flushing, headache, hyper or hypotension, tachycardia.

Answer 88

Refrigerate. Give IM & aspirate. Monitor vitals. admin. antiemetic & anti diarrheals as ordered.

Answer 89

Vaccine/ **Immunizing agent**

Answer 90

Prevents Hep B infection. Passive immunity

Answer 91

**Prevents Hep B in patients who are known to be exposed, including newborns born to HBsAg (+) women.**

Answer 92

Hypersensitivity to IMg, glycine, thimerosal (Safe breastfeeding if vaccinated)

Answer 93

Neonates 0.5mL w/in 12hrs of birth

Answer 94

Pain or Redness @ inj. site

Answer 95

To prevent contamination, newborn skin should be cleaned well before inj or heel sticks. Infant is tested 1-3 Mo after completing HBV schedule to identify infection.

Answer 96

**Opioid agonist** Antidote: Narcan

Answer 97

Decrease pain r/t labor. Moderate to severe pain

Answer 98

Adjunct to epidural analgesia during labor/pain

Answer 99

Use caution in prenancy and lactation

Answer 100

20-50 mcg IV, may repeat Q hr. May be given PCA adjunct to epidural.

Answer 101

N/V, puritis, **Respiratory depression **

Answer 102

Record baseline maternal vitals & FHRP for comparison. Monitor for respiratory depression & Pain

Answer 103

**Antibiotic **

Answer 104

Inhibits protein synthesis in bacteria, bacteriostatic, bacteriocidal.

Answer 105

Prophylaxsis **against organism (Gonorrhea).** Prevents opthalmia neonatorum in infants of mothers w/gohnorrhea req. by law

Answer 106

None for baby CI in those w/hypersensitivity

Answer 107

"ribbon" of 0.5 % oint, 1 cm long, applied to lower conjunctival sac w/in one hour after birth.

Answer 108

**Burning, itching**, iritation, temporary blurred vision

Answer 109

Cleanse infants eye PRN before admin. Hold tube in horizontal position to prevent injury if baby moves. Admin from inner--\> outer canthus. Don't touch eye w/tip of tube. Wipe away excess after 1 min. Observe for irritation.

Answer 110

**Prostoglandins**

Answer 111

Preinduction **cervical ripening & labor induction/ terminate pregnancy**

Answer 112

Need of cervical rippening & induction

Answer 113

asthma, glaucoma, ischemic heart disease, pulmonary, hepatic, renal failure- use caution

Answer 114

May cause severe diarrhea in nursing infant

Answer 115

Terminate preg: PO 400mcg (single dose- 2 days after mifepristone if abortion has not occured) **Intravaginally**- 25mcg Q 3-6hr PRN

Answer 116

Abdominal pain, diarrhea, miscarriage, tachysystole (repeated constant U/C)

Answer 117

Increased risk of diarrhea w/ Mg containing antacids

Answer 118

**FHR & uterine activity** should be monitored before insertion for baseline & 30 min after for non reassuring FHRP or excessive contractions. Assess dilation of cervix

Answer 119

Ergot alkaloid, **Uterine stimulant**

Answer 120

Stimulates sustained contraction of uterus & causes arterial vasoconstriction.

Answer 121

**Used for prevention & treatment of postpartum or post abortion hemorrhage caused by uterine atony or subinvolution**

Answer 122

**Don't use in pregnancy or to induce labor.** HTN, CAD, renal disease, hypocalcemia, sepsis or before 4th stage of labor

Answer 123

0.2 mg IM Q 2-4 hrs (max of 5 doses) change to oral route 0.2mg Q 6-8 hrs for max of 7 days. IV use not recommended. Only life threatening situations-give over 60 sec w/close watch of BP & P

Answer 124

N/V, uterine cramping, HTN, dizziness, headaches, dyspnea, chest pain, palpitations

Answer 125

**Assess BP before admin** (follow facility protocol) caution mother avoid smoking & report adverse effects.

Answer 126

Mineral & electrolyte replacement

Answer 127

Essential for maintaing cell membrane and capillary permeability, essential for muscle contraction

Answer 128

**Treatment & prevent hypoglycemia. Emergency treatment of hyperkalemia& hypermagnasemia. **

Answer 129

Hypercalcemia, Renal Calculi, V. fib.

Answer 130

Neonates PO 500-1500 mg/kg/day in 4-6 divided doses IV neonates 200-800 mg/kg/day cont. infusion or 4 divided doses For cardiac arrest or IV- infants & neonates: 100-200 mg/kg/dose over 5-10 min & repeat after 6 hr or Cont. inf. up to 500mg/kg/day

Answer 131

Arrhythmias, constipation, phlebitis, cardiac arrest.

Answer 132

Increase calcium, increased risk of digoxin tox.

Answer 133

Monitor vital, ECG, Assess IV, monitor for digitalis Tox, Give PO w/Water, admin, slowly.

Med Cards Flashcards

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