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Flashcards in Med Quiz III Deck (50)
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clomiphene citrate: classification

ovarian stimulant


clomiphene citrate: indication

  • female fertility in which estrogen levels are normal


clomiphene citrate: contraindications

  • pregnancy
  • liver disease
  • abnormal bleeding of undetermined origin
  • ovarian cysts
  • neoplastic disease
  • therapy is ineffective in women with ovarian or pituitary failure


clomiphene citrate: ADRs

  • ovarian enlargement
  • symptoms similar to PMS
  • ovarian hyperstimulation syndrome
  • multiple gestation
  • visual disturbances
  • abdominal distention
  • discomfort
  • n/v
  • abnormal uterine bleeding
  • breast tenderness
  • insomnia, nervousness, HA< depression, fatigue, lightheadedness, dizziness
  • hot flashes
  • inc urinartion
  • allergic symptoms
  • dry cervical mucous


clomiphene citrate: nursing considerations

  • take hx to determine if woman has a hx of liver dysfunction or abnormal uterine bleeding
  • rule out possibility of pregnancy
  • teach women to report abdominal distention, pain the pelvis, visual disturbances
  • avoid tasks that require mental alertness or coordination b/c the drug can cause lightheadedness, dizziness, visual disturbances
  • stop taking if suspect pregnancy
  • teach that S/S of PMS may occur, but hese are temporary


hepatitis B vaccine: classification



hepatitis B vaccine: indications

  • prevention of hepatitis B in exposed and unexposed infants


hepatitis B vaccine: how is it given normally

  • first dose: can be given before infant leaves hospital or at first neonatal appointment
  • second dose: 1-2 mos
  • third dose: 6-18 mos (at least 16 weeks after 2nd dose)


hepatitis B vaccine: how is it given is mother is hep B positive or has an unknown status

  • give vaccine w/in 12 hours of birth 
    • give along with hepatitis B immune globulin
  • follow normal course for the rest of the series


hepatitis B vaccine: contraindications

  • hypersensitivity to yeast


hepatitis B vaccine: ADRs

  • pain or redness at site
  • fever
  • fatigue
  • HA


hepatitis B vaccine: nursing considerations

  • if vial is used, shake the solution well before preparing
  • give vaccine w/in 12 hours of birth to an infant of an infected mother
  • do not give IV or ID
  • obtain parental consent before administering


hepatitis B immune globulin (HBIG): classification

immune globulin


Hepatitis B Immune Globulin: indications

  • prophylaxis for infants of hepatitis B surface antigen positive mothers


hepatitis B immune globulin: contraindications

none known


hepatitis B immune globulin: ADRs

  • pain and tenderness at the site
  • urticaria
  • anaphylaxis


hepatitis B immune globulin: nursing considerations

  • do not shake or give IV
  • hepatitis vaccine series should begin w/in 12 hours of birth
  • give injection of vaccine and immune globulin at separate sites


vitamin K (phytonadione): classification

  • fat soluble vitamin
  • antihemorrhagic


vitamin K: indication

  • prevention or tx of vitamin K deficiency bleeding (hemorrhagic disease of the newborn)


vitamin K: ADRs

  • erythema, pain, and edema at injection site
  • anaphylaxis
  • hemolysis
  • hyperbilirubinemia, especially in a preterm infant or when a large dose is used


vitamin K: nursing considerations

  • protect drug from light until just before administration to prevent decomposition and loss of potency
  • observe all infants for signs of vitamin K deficiency (ecchymoses or bleeding from any site)
  • check that the infant has vitamin K before circumcision


erythromycin ophthalmic ointment: classification



erythromycin ophthalmic ointment: indications

  • prophylaxis against gonorrhea
    • helps prevent ophthalmia neonatorium in infants of mothers infected with gonorrhea
  • required by law for all infants, even if mother is not known to be infected


erythromycin ophthalmic ointment: ADRs

  • burning, itching, irritation may result in chemical conjunctivitis lasting 24-48 hours
  • may cause temporary blurred vision


erythromycin ophthalmic ointment: nursing considerations

  • do not rinse
  • ointment may be wiped from outer eye after 1 minute
  • observe for irritation


pertussis vaccine: classification



pertussis vaccine: indication

  • recommended for all adults in contact with infants to prevent whopping cough in the infants
    • may be offered to women during pregnancy or before hospital discharge after childbirth
  • usually given with tetanus and diptheria vaccines (Tdap)


pertussis vaccine: ADRs

  • Abdominal pain,
  • arthralgia,
  • chills,
  • diarrhea,
  • fatigue,
  • headache,
  • myalgia,
  • n/v
  • pain at injection site


pertussis vaccine: contraindications

  • anaphylactic rxn after a previous dose of Tdap vaccine


pertussis vaccine: nursing considerations

  • administer IM
  • preferably given during weeks 27-36 gestation