Flashcards in Medication cards pt. 4 Deck (17)
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1
Q
Cytotec (misoprostol): Class and action
A
- Class: Prostaglandin/oxytocic
- Action: uterine contraction
2
Q
Cytotec (misoprostol): Indication
A
- used in combination of mifepristone for termination of pregnancy
- used for cervical ripening and induction of labor.
- Pregnancy category X
- Used for elective abortion before 7 weeks
3
Q
Cytotec (misoprostol): Adverse Effect
A
- Miscarriage
- abdominal pain
- diarrhea
- tachysystole (major)
4
Q
Cytotec (misoprostol): Drug interaction
A
Magnesium (containing antacids-diarrhea)
5
Q
Cytotec (misoprostol): Dosage and route
A
- PO 400 mcg single dose for 2 days after mifepristone for termination intravaginal
- 25 mcg repeat Q3-6 hours PRN
- PO, intravaginally, intracervical
6
Q
Cytotec (misoprostol): Nursing implication
A
- Monitor
- uterine cramping
- FHR
- bleeding
- Inform pt med can cause spontaneous abortion.
- Surgery may be needed if abortion is incomplete
- Assess dilation of cervic during therapy
7
Q
Hydrocordone (norco): class and action
A
- Class: opoid analgesic
- Action: bind to opiate receptors in CNS
8
Q
Hydrocodone (norco): Indication
A
Management of pain
9
Q
Hydrocodone (norco): adverse effect
A
- Confusion
- n/v/c
- hallucinations
- dizziness,
- respiration depression
10
Q
Hydrocodone (norco): Dosage and route
A
- PO 2.5-10 mg Q3-6 hours PRN
11
Q
Hydrocodone (norco): nursing implications
A
- Assess LVL of sedation
- Monitor:
- vs, hr, RR before and after administration
- bowel souds
- Assess Pain
- intensity
- location
- type
12
Q
Ibuprofen (motrin): class and action
A
- Class: antipyretic and analagesic
- inhibits prostaglandin synthesis
13
Q
Ibuprofen (motrin): Indication
A
- mild to moderate pain
- fever
- Pregnancy category C & D
14
Q
Ibuprofen (motrin): Contraindicated
A
- hypersensitivity
- avoid after 30 week gestation
- active bleeding
- GI ulcer disease
15
Q
Ibuprofen (motrin): adverse effect
A
- anaphylaxis
- headache
- steven-johnson syndrome
- exfoliative dermatitis
- constipation
- GI bleed
- dyspepsia
16
Q
Ibuprofen (motrin): Dosage and route
A
PO 4-10 mg/kg/dose
Q6-8 hours
IV
17
Q
Ibuprofen (motin): Nursing implicaitons
A
- Instruct patient to drink full glass of water and remain upritght for 15-30 min
- Pt who have asthma, aspirin induced injury and nasal polyps are at increase risk of developing allergic reaction
- Monitor
- signs of bleeding
- VS