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OB Meds > Meds > Flashcards

Meds Flashcards

1
Q

simethicone (Mylicon)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication

A

Use- Mother PP
Class- Antiflatulent
Action- passage of gas through GI tract through belching or passing flatus
Indication- excess gas after c-section
C/I- infant colic, ab pain with no known cause and fever
S/E- none
Route- PO
Nursing consideration- shake well, assess for BS, ab pain, distention

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2
Q

HYDROcodone/acetaminophen (Norco)

Use, Class, Action, Indication, C/I, S/E, Drug interaction, Antidote, Usual route, Nursing implication

A

Use: LD
Class: Opioid agonist, nonopioid analgesic
Action: bind to opiate receptors, depress CNS, reduce pain
Indication: management of pain
C/I- severe hepatic or renal disease, OB and Lact, avoid chronic use
S/E- confusion, dizziness, sedation, hypotension, NVC, RD
Drug- MAOI
Antidote- Narcan
Route- PO
Nursing- monitor VS esp. RR, LOC, sedation

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3
Q

ibuprofen (Motrin, Advil)

Use, Class, Action, Indication, C/I, S/E, Drug interaction, Usual route, Nursing implication

A

Use- LD, MB
Class- NSAID, antipyretic, nonopioid analgesic
Action- decrease pain, fever, inflammation
Indication: pain, fever
C/I- GI bleeding or ulcer, OB- do not take after 30 week gestation, lact- with caution
S/E- GI bleeding, headache, NVC
Drug- other NSAIDS including ASA
Route- PO
Nursing- assess for s/s of GI bleeding, caution if asthma patient, avoid alcohol

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4
Q

Vitamin K (AquaMEPHYTON)

Use, Class, Action, Indication, C/I, S/E, Drug Interaction, Usual route, Nursing implication

A

Use- LD, ICN/NICU
Class- fat soluble vitamin, antidote
Action- promote formation of clotting factors by liver
Indication- prevention of treatment of vit K deficiency bleeding
C/I- hypersensitivity
S/E- erythema, pain, edema at injection site, hyperbilirubinemia
Drug- counteract warfarin
route- IM within birth vastus lateralis
Nursing- protect from light, observe s/s of Vit K deficiency (bruise, bleeding, etc.), give Vit K before circumcision

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5
Q

terbutaline (Brethine)

Use, Class, Action, Indication, C/I, S/E, Drug interaction, Usual route, Nursing implication

A

Use- LD
Class- beta adrenergic (bronchodilator)
Action- smooth muscle relaxant to stop PTL (tocolysis)
Indication- management of PTL, tocolysis
C/I- maternal DM, HTN
S/E- maternal and fetal tachycardia, palpitation, angina, dysrhythmia, hyperglycemia, NV
Drug- MAOI
Route- IV, subcut, PO
Nursing- monitor maternal pulse, BP, frequency and duration of UC, FHR, maternal BG; listen to lungs for pulmonary edema

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6
Q

butorphanol (Stadol)

Use, Class, Action, Indication, C/I, S/E, Drug interaction, antidote, Usual route, Nursing implication

A

Use- LD
Classification- opioid analgesic with some antagonistic effects
Action- bind to opiate receptors in CNS and decrease pain
Indication- management of pain during labor
C/I- opiate dependency (may cause withdrawal)
S/E- RD, confusion, hallucination, sedation, nausea, sweating
Drug- MAOI, CNS depressant, other narcotics
Antidote- Narcan
Route- IV, PCA
Nursing- may cause RD in newborn, monitor VS esp. RR and LOC and sedation, have narcan ready, and monitor pain levels

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7
Q

nalbupine (Nubain)

Use, Class, Action, Indication, C/I, S/E, Drug interaction, Antidote, Usual route, Nursing implication

A

Use- LD
Class- opioid analgesic
Action- bind to opiate receptors in CNS and decrease pain; can also relieve pruritis r/t epidural narcotics
Indication- management of pain during labor
C/I- hypersensitivity, opiate dependent who are not detoxified
S/E- RD, NV, dizziness, headache
Antidote- Narcan
Drug interaction- MAOI, CNS depressant
Route- IV, PCA
Nursing- monitor VS esp. RR, have antidote ready, monitor pain

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8
Q

oxytocin (Pitocin)

Use, Class, Action, Indication, C/I, S/E, Drug interaction, Usual route, Nursing implication

A

Use- LD, PP
Classification- oxytocics, hormone
Action- increase strength,duration, freq of UC
Indication- induction of labor at term, maintenance of bleeding PP, management of abortion
C/I- placenta brevia, vasa previa, prolapsed umbilical cord, nonreassuring FHR
S/E- hypertonic uterine activity, imparied urterine blood flow, uterine rupture, abruptio placentae
Drug- vasopressor (cause severe HTN)
Route- IV and also IM
Nursing- fetus may be brady or tachy so give mother 8-10 L/min O2 100% facemask, put her on her side, and reduce uterine activity, monitor UC

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9
Q

magnesium sulfate

Use, Class, Action, Indication, C/I, S/E, antidote, Usual route, Nursing implication, Fetal consideration

A

use- MB
classification- anticonvulsant, tocolytic
action- decrease Ach therefore depressing CNS and decrease UC and PIH
Indication- prevention and control of preeclampsia seizures, prevention of PTL
C/I- MI, heart block, myasthenia gravis, renal function impaired
S/E- OD (flushing, sweating, hypotension, CNs depression), depressed deep tendon reflex
Antidote- calcium gluconate
route- IV, IM painful
Nursing- monitor VS, urinary output, keep resuscitation equip nearby, monitor for Mg toxicity (4-8 mg/dL), therapeutic range (1.7-2.2)
Fetal- avoid continuous use during labor. can cause toxicity

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10
Q

methylergonovine (Methergine)

Use, Class, Action, Indication, C/I, S/E, Drug interaction, Usual route, Nursing implication

A

Use- PP
Classification- uterine stimulant
action- stimulate sustained UC, arterial vasoconstriction
Indication- prevention & treatment of PP or post abortion hemorrhage r/t uterine atony or subinvolution
C/I- pregnancy, to induce labor, HTN, renal hepatic disease, thrombophlebitis, CAD, PVD, hypocalcemia, sepsis, before 4th stage of labor
S/E- NV, uterine and GI cramping, HTN
Route- IM, IV not recommended
Drug- nicotine, vasopressors
Nursing- monitor for BP, HR, and uterine response, avoid smoking

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11
Q

naloxone (Narcan)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication

A

Use- LD, NICU
Classification- opiate antagonist
Action- reverse CNS and RD caused by narcotics (NICU), reduce pruritis from epidural opioids (LD)
indication- severe RD in newborn with mother addicted to narc within 4 hours of birth
C/I- if given to infant with opiate addicted mother, will have withdrawals and seizures
S/E- withdrawal symptoms
Route- IV adult, IV, IM, subcut, endotracheal tube neonate
Nursing- have resuscitation equip ready, draw up med more than expected, onset and duration short so have more ready

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12
Q

betamethasone (Celestone)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication, Maternal consideration

A 
Use- MB
Class- corticosteroids
Action- speed up fetal lung maturation
Indication- RD and IVH in preterm infant
C/I- active infection
S/E- pulmonary edema r/t fluid retention
Route- IM
Maternal- check BG freq if DM patient
Nursing- monitor VS (temp increase may mean infection), lung sounds for pulmonary edema, teach to report chest pain heaviness dyspnea, WBC may be high for 72 hours
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13
Q

misoprostol (Cytotec)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication

A

Use- LD
Classification- prostaglandin
Action- cause UC
Indication- cervical ripening, labor induction
C/I- previous C-section or other uterine surgery
S/E- ab pain, diarrhea, tachysystole
Nursing- monitor uterine activity and FHR prior to administration, side lying position, O2 mast 8-10L/min

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14
Q

calcium gloconate

Use, Class, Action, Indication, C/I, S/E, Drug, Usual route, Nursing implication

A 
use- LD
classification- mineral supplement
action- reverse MG toxicity and prevent Resp arrest
Indication- Mg toxicity (decreased RR)
C/I- hypercalcemia, renal caliculi, vfib
S/E- arrhythmia, hypercalcemia, NVC
Drug- increase risk of digoxin toxicity
Route- IV
Nursing- monitor VS, EKG, toxicity (NV, anorexia, thirst, constipation)
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15
Q

HBIG

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication

A 
use- baby
Classification- immunoglobulin
action- prevent chronic infection of HBV
indication- newborns whose mother is HBsAg positive or unknown
C/I- hypersensitivity to yeast
S/e- local soreness
Route- IM at 0, 1-2, 6-18 month
Nursing- prevent contamination from maternal blood by cleaning infant's skin thoroughly, safe to breastfeed as long as infant is vaccinated
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16
Q

Hep B vaccine (neonate)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication

A

Use- baby
Classification- vaccine
Action- prevention of HBsAg chronic infection
Indication- newborns esp whose mothers are HBsAg positive
C/I- hypersensitivity to yeast
S/E- local soreness
Route- IM at 0, 1-2, 6-18 months
Nursing- prevent contamination from maternal blood by cleaning infant’s skin thoroughly, safe to breastfeed as long as infant is vaccinated

17
Q

carboprost tromethamine (Hemabate)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication

A

Use- LD
classification- prostaglandin, oxytocic
action- stimulate UC
indication- treatment of PP hemorrhage caused by uterine atony; abortion
C/I- acute pelvic inflammatory disease, cardiac, pulmonary, renal, hepatic disease; caution with asthma, HTN, hypotension, anemia DM, previous uterine surgery
S/E- tetany, uterine rupture, NVD, fever, chills, face flush, headache, HTN, pulmonary edema
Route- IM
Nursing- refrigerate, aspirate injection, monitor VS, administer antiemetic and antidiarrheal as ordered

18
Q

erythromycin (Ilotycin)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication

A

Use- neonatal unit
classification- antibiotic
action- kill bacteria
indication- prevent ophthalmia neonatrium in infants with mothers with neissera gonorrhea
C/I- intolerance to alcohol
S/E- blurry vision, irritation, burning, itching
Route- “ribbon” 1 cm long to lower conjunctival sac 1 hour after birth
Nursing- clean infant’s eye before giving, hold tube horizontally, inner to outer canthus, do not touch tube to skin, 1 tube per patient, wipe away excess after 1 min, observe for irritation

19
Q

Rubella vaccine

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication. breastfeeding

A

Use- mother
class- attenuated live virus vaccine
action- produce modified rubella that is not communicable cusing formation of Ab against rubella virus
indication- 1 month before pregnancy or after childbirth for non immune mothers
C/I- immunosuppressed, pregnant
S/E- transient stinging at site, fever, lymphadenopathy, arthralgia
Route- subcut
breastfeed- attenuated virus may be present in milk. baby may get rashes
Nursing- keep refrigerated and use diluent provided, protect from light, avoid pregnancy for at least 4 weeks after vaccination

20
Q

Nifedepine (Procardia)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication, Drug interaction

A

Use- LD, MB
Classification- CCB for tocolysis
Action- MB- antiHTN, vasodilator, LD- reduce UC
Indication- PTL
C/I- hypersentivity, heart block
S/E- flushing, dizziness, headache, nausea, transient maternal tachycardia, hypotension, increase in BG
Route- PO
Drug- St. John’s wort, grapefruit juice
Nursing- monitor VS, BG, UC, MHR, FHR, call for assistance because may get orthostatic hypotension, report MHR > 120

21
Q

Rho(d) Immune Globuline (RhoGAM)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication

A

use- mother PP
class- immunoglobulin
action- prevent production of anti-Rh(d) antibodies.
Indication- Rh- women exposed to Rh+ blood (delivery, abortion, transfusion)
C/I- Rh+ women, women already sensitized to Rho(D)
S/E- local pain, fever
Route- IM deltoid
Nursing- assess maternal and cord blood

22
Q

fentanyl (Sublimaze)

Use, Class, Action, Indication, C/I, S/E, Usual route, Nursing implication, drug interaction, antidote

A

use- LD
Class- opioid analgesic
action- bind to opiate receptors and decrease pain
indication- management of pain during labor
C/I- hypersensitivity, intolerance
S/E- pruritus, apnea, laryngospasm
Drug- MAOI
antidote- Narcan
Route- IV, PCA, epidural
Nursing- pruritus can decrease with benadryl, narcan, nubain, trexan; assess VS before analgesic, bladder sensation is decreased so may need urinary cath

OB Meds (1 decks)

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