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Oxytocin (pitocin)
Uterine stimulant. Used for induction of labor etc. Increases strength, frequency and length of uterine contractions.
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What nursing interventions are indicated for a client receiving Oxcytocin (Pitocin)?
Infusion pump, continuous monitoring of maternal vitals and FHR
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Methylergonovine (Methergine)
Uterine stimulant. Used for emergency intervention for serious postpartum hemorrhage.
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What is a serious side effect of Oxytocin?
Uterine rupture/
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If pt is having to complication from oxytocin (lengthy, strengthy contractions) what med should the nurse have on stand-by?
Mg sulfate.
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What is a serious adverse effect of methylergonovine (methergine)?
HTN Crisis. Monitor symptoms of HTN crisis (ha, n, v, increased bp).
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Who should methergine not be given to?
Pt's w/ htn.
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We want to monitor contractions for patients taking oxytocin. What is the general goal for uterine contractions?
Contractions that last 1 min or less every 2 to 3 min.
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Terbutaline sulfate (Brethine)
Tocolytic. Delay's preterm labor. Selectively activates beta-2 adrenergic receptos, resulting in smooth muscle relaxation.
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What are some side effects of Terbutaline?
Tachycardia, palpitations, chest pain, tremors, anxiety, ha
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Mg sulfate
Tocolytic. used to suppress preterm labor. CNS depressant used to relax smooth muscle of the uterus and causes fewer maternal and fetal side effects than other tocolytics.
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What is the antidote for Mg sulfate?
Ca gluconate
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what are side effects of mg sulfate toxicity?
loss of DTR, low urine output, resp depression, pulmonary edema and chest pain
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Meperidine Hydrochloride (Demerol)
Opioid analgesic. used in labor
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Butoorphanol (Stadol)
Opioid analgesic. used in labor
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Nalbuphine (Nubain)
Opioid analgesic. used in labor
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Prior to administering an opioid during labor, what should the nurse make sure?
that the fetus in engaged and the cervix is dilated @ least 4 cm.
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What is the antidote for opiods
narcan
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