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OB Drugs > OB drugs > Flashcards

OB drugs Flashcards

1
Q

Aquamephyton Indication

A

for a newborn

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2
Q

Aquamephyton Contraindications

A

Hypersensitivity to phytonadione (Vitamin K )

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3
Q

Aquamephyton Indication for Use

A

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.

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4
Q

Aquamephyton side effects

A

Injection site reaction, flushing, cyanosis, dyspnea, hypotension, tachycardia

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5
Q

Aquamephyton Nursing implications
When do you administer?
How do you administer?

A

Administer within 1-2 hours after birth.
Given IM- vastus lateralis
Slowly injected

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6
Q

Betamethasone indication

A

Antepartum

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7
Q

Betamethasone contraindications

A

Hypersensitivity, IM contraindicated in pts with ITP

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8
Q

Betamethasone USE

A

Fetal lung maturity- stimulates surfactant production
Prevents/reduces respiratory distress syndrome and intraventricular hemorrhage in the preterm neonate less than 34 weeks

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9
Q

Betamethasone Side effects

A

N/V, increased appetite, weight gain, restlessness, adrenal suppression, immunosuppression, hyperglycemia, peptic ulcer

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10
Q

Betamethasone Nursing Implications

A

2 IM doses 24 hrs apart
Monitor - maternal infection/pulm edema /signs of infection /lung sounds

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11
Q

Calcium Gluconate Indication

A

Ante/Intra/Postpartum

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12
Q

Calcium Gluconate contraindications

A

Patients with hypercalcemia

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13
Q

Calcium Gluconate indication for use

A

-Dietary supplement for calcium deficiency
-Reversal agent for magnesium toxicity from magnesium sulfate

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14
Q

Calcium Gluconate side effects

A

Fatigue, arrhythmia, bradycardia, tingling sensation, constipation, muscle weakness

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15
Q

Calcium Gluconate Nursing implications

A

Assess heart rhythm with EKG monitoring
Stool softeners for constipation
Assess hypercalcemia

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16
Q

Cervidil Indication

A

Intrapartum

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17
Q

Cervidil contraindications

A

Patients in whom induced labor and oxytocic drugs are contraindicated.
Hx of cesarean or major uterine surgery
Prolonged uterine contractions
Cephalopelvic disproportion

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18
Q

Cervidil indication for use

A

Directly softens and dilates the cervix to ripen cervix and induce labor
Termination of intrauterine pregnancy

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19
Q

Cervidil side effects

A

HA, N/V/D

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20
Q

Cervidil Nursing Implications

A

Assess degree of effacement and dilation
Monitor uterine contractions for freq, duration, and strength , assess maternal VS and FHR pattern freq

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21
Q

Dermoplast indication

A

postpartum

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22
Q

Dermoplast contraindications

A

Hypersensitivity to benzocaine

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23
Q

Dermoplast indication for use

A

Temporary relief of perineal pain and discomfort

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24
Q

Dermoplast side effects

A

Contact dermatitis

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25
Q

Dermoplast nursing implications

A

Assess patients pain level and perineal site and perineal site
Provide topical spray to increase in pain or bowl movement/urination to reduce pain

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26
Q

Erythromycin Ophthalmic Indication

A

Newborn

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27
Q

Erythromycin Ophthalmic contraindications

A

Hypersensitivity to erythromycin

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28
Q

Erythromycin Ophthalmic Indication for use

A

Provides bactericidal and bacteriostatic actions to prevent Neisseria gonorrhea and chlamydia trachomatis conjuctivitis.
Prevents ophthalmic neonatorum.

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29
Q

Erythromycin Ophthalmic side effects

A

Eye redness

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30
Q

Erythromycin Ophthalmic nursing implications

A

What for chemical conjuctivitis for 1-2 days, wear gloves
wipe off excess after 1 minute

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31
Q

Hemabate carboprost, prostaglandin E2 indication

A

Postpartum

32
Q

Hemabate carboprost, prostaglandin E2 contraindications

A

Asthma or active CVD, active pulmonary or renal or hepatic disease

33
Q

Hemabate carboprost, prostaglandin E2 indication for use

A

Stimulates uterine contractions also to reduce bleeding when not controlled by first line therapy (oxytocin).
Repeated every 15-90 minutes up to 8 doses.
treats postpartum hemorrhage due to uterine atony when not controlled by other methods.

34
Q

Hemabate carboprost, prostaglandin E2 side effects

A

Fever, chills, HA, N/V/D, flushing and bronchospasm

35
Q

Hemabate carboprost, prostaglandin E2 nursing implications

A

VS, uterine contractions, clients comfort level, bleeding status as per protocol.
Monitor adverse side effects

36
Q

Hepatitis B Vaccine (HBV) indication

A

Ante/Postpartum; newborn

37
Q

Hepatitis B Vaccine (HBV) contraindication

A

Prior anaphylaxis reaction to HepB or to bakers yeast

38
Q

Hepatitis B Vaccine (HBV) indication for use

A

Given to newborns whose mother is HBsAg-positive.
Standard to vaccinate all babies
3 injections within first 6 months.
1st is given within 12 hours of birth

39
Q

Hepatitis B Vaccine (HBV) side effects

A

injection site soreness, mild/moderate fever

40
Q

Hepatitis B Vaccine (HBV) nursing implications

A

Fever controlled with acetaminophen or ibuprofen NOT aspirin.
Passive immunity is passed along from mother but goes away after some months and is less effective protective measure.
Active immunity is through having disease or being vaccinated.

Hep B can be transmitted mother to baby during birth but not through breast milk of infected mother to uninfected baby.

Vaccine given to all infants after birth in most hospitals- 3 vax over 6 months.

41
Q

Hep B Immune Globin (HBIG) indication

A

Newborn

42
Q

Hep B Immune Globin (HBIG)

A

Do not use unless the mother is positive for HBsAg

43
Q

Hep B Immune Globin (HBIG) Indication for use

A

Given within 12 hours of birth (along with 1st shot of HBV, but at different site) to babies born to HBsAg positive mothers.

44
Q

Hep B Immune Globin (HBIG) side effects

A

Pain at injection site, muscle pain, HA

45
Q

Hep B Immune Globin (HBIG) Nursing Implication

A

Newborn should receive this HBIG along with HBV within 12 hours of birth if other is HBsAg positive. Regardless of vaccine status, all pregnant women should be tested for HBsAg

46
Q

Lanolin Cream indication

A

Postpartum

47
Q

Lanolin Cream contraindications

A

NONE, unless allergic to drug

48
Q

Lanolin Cream Indication for use

A

Protects and conditions sore or cracked nipples due to breastfeeding. Treat diaper rash, skin irritation

49
Q

Lanolin Cream side effects

A

None other than allergic rx to drug

50
Q

Lanolin Cream nursing implication

A

none

51
Q

Magnesium Sulfate Indication

A

Ante/intra/post partum

52
Q

Magnesium Sulfate contraindication

A

Hypersensitivity to drug; heart block; myocardial damage; IV use for preeclampsia/eclamps-ia during the 2 hours prior to delivery.

53
Q

Magnesium Sulfate indication for use

A

Tocolytic drug that interferes with contractions by causing the muscles to relax- it reduces the muscles ability to contract.

Relaxes uterine muscles to stop irritability and contractions, to arrest uterine contractions for preterm labor.

Has been used in seizure prophylaxsis and trxt of seizures in preeclampic and eclampic clients for almost 100 years.

54
Q

Magnesium Sulfate side effects

A

Flushing, N/V, dry mouth, lethargy, blurred vision, HA

55
Q

Magnesium Sulfate Nursing implication

A

Admin IV with loading dose of 4-6 g over 15-30 minutes initially.

Then maintain infusion at 1-4 g/hr/

Check VS, and DTRs HOURLY

Report hypotension, or depressed or absent DTR

Monitor LOC- report HA, blurred vision , dizziness, altered LOC>.

Continuous fetal monitoring- report any decreased FHR variability, hypotonia, or respiratory depression

I&Os hourly- report decreased output (<30)

reversal agent: Calcium gluconate

56
Q

Methergine (Methylgonovine maleate) indication

A

Postpartum

57
Q

Methergine (Methylgonovine maleate) contraindications

A

HTN, hypersensitivity to methylgonovine

58
Q

Methergine (Methylgonovine maleate) indication for use

A

Stimulates the uterus to prevent and treat postpartum hemorrhage due to atony or subinvolution

59
Q

Methergine (Methylgonovine maleate) side effects

A

HTN, seizures, uterine cramping, N/V and palpitations

60
Q

Methergine (Methylgonovine maleate) nursing interventions

A

Assess baseline bleeding, uterine tone, VS Q15.
Report chest pain right away.

61
Q

Misoprostol (cytotec) indication

A

Intra/postpartum

62
Q

Misoprostol (cytotec) contraindications

A

Allergy, active CVD, pulmonary or hepatic disease, use with caution in women with asthma. Never give undiluted as a bolus injection IV.

63
Q

Misoprostol (cytotec) indication for use

A

Stimulates the uterus to contract/to reduce bleeding; a prostaglandin analog. Ripens cervix to induce labor.

64
Q

Misoprostol (cytotec) side effects

A

N/V/D, uterine hyperstimulation, dysmenorrhea, spotting

65
Q

Misoprostol (cytotec) nursing implications

A

Instruct client about purpose and possible adverse effects of medication.
Ensure informed consent is signed
VS, and FHR patterns
Monitor clients reaction to drug, initiate oxytocin for labor induction at least 4 hours after last dose was administered.

66
Q

Pitocin (Oxytocin) indication

A

Intra/Postpartum

67
Q

Pitocin (Oxytocin) contraindication

A

Never give undiluted as a bolus injection intravenously.
Should not be used if vaginal birth or spontaneous labor are contraindicated.

Sever hypertension can occur if oxytocin follows the administration of vasopressor.

68
Q

Pitocin (Oxytocin) indication for use

A

Stimulates the uterus to contract to the uterus to control bleeding from the placental site (20-40 units in a L IV or 10 units IM)

69
Q

Pitocin (Oxytocin) side effects

A

Hyperstimulation of the uterus, impaired uterine blood flow leading to fetal hypoxia, rapid labor leading to cervical lacerations or uterine rupture, water intoxication (if oxytocin is given in electrolyte-free solution or at a rate exceeding 20 mL/min) and hypotension, N/v

70
Q

Pitocin (Oxytocin) nursing implication

A

Assess fundus for evidence of contraction and compare amount of bleeding every 15 mins or according to orders. Monitor VS every 15 mins

Monitor- uterine tone to prevent hyperstimulation.

71
Q

Prenatal Vitamins Indication

A

Ante/postpartim

72
Q

Prenatal Vitamins contraindications

A

none

73
Q

Prenatal Vitamins indication for use

A

Prescribed routinely as a safeguard against a less-than-optimal diet, enrich with folic acid and iron

74
Q

Prenatal Vitamins side effects

A

Constipation during the first and third trimesters

75
Q

Prenatal Vitamins nursing implications

A

Iron and folic acid are needed to form new blood cells for the expanded maternal blood volume and to prevent anemia.

Iron is essential in folic acid and brain development and in the prevention of maternal anemia. An increase in folic acid is essential before pregnancy and in the earyl weeks of preg to prevent NEUAL TUBE DEFECTS in the fetus

27mg of ferrous iron and 400-800 mcg of folic acid per day are reccommended by the dietary reference intake DRIs.

OB Drugs (1 decks)

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