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classification of
Ca Gluconate
?
electrolyte replacement
use of
Ca Gluconate
?
antidote for hypermagnesium
usual
dosage
for
Ca Gluconate
1g IV over 3-5 min
classifcation of
celestone
(
betamethasone
)?
steroid
use of Celestone (betamethasone)?
increase fetal lung maturity
given to mom in PTL at 24-34weeks gestation
usual
dosage
of
celestone (betmethasone)
?
12.5mg IM q 24 hrs x2 doses
classification of
dinoprostone (prostin E2
)?
prostaglandin
use of
dinoprostone (prostin E2
)?
termination of pregnancy
side of effects of
dinoprostone (prostin E2
)?
nausea
vomiting
diarhea
fever
**can be premedicated with tylenol, antiemetic & antidiarrheal**
classification of
Hydralazine (apresoline)?
antihypertensive
use of
Hydralazine (apresoline
)?
Blood pressure control
acute hypertension
how is
hydralazine (apresoline)
administered?
given slow IV push
classification of
Lorazapam (ativan)?
CNS agent
use of
Lorazapam (ativan
)?
anticonvulsant treatment
used during a seizure
how is
lorazapam (ativan
) stored?
in the refridgerater
classification of
magnesium sulfate
anticonvulsant
use of
magnesium sulfate
anticonvulsant treatment
treatment of PTL
effects of
magnesium sulfate
during loading dose
facial flushing
warmth
signs & symptoms of
hypermagnesium
loss of reflexes
respiratory arrest
cardiac arret
what is the
first sign
of
hypermagnesium
?
decrease in DTRs
what is
magnesium sulfate
the first choice drug for?
first choise during seizure and anti-seizure
treatment for PTL
what is the
therapeutic
level of
magnesium sulfate
?
4-8mg/L
how is
magnesium sulfate
administered?
given through an IV infusion pump
classification of methyldopa (aldomet)
antihypertensive
use of methyldopa (aldomet)?
drug of choice for antihypertensive maintenance
classification of
nifedipine (procardia
)
calcium channel blocker
use of
nifedipine (procardia
)
tocolysis
blood pressure control
effects of
nifedipine (procardia)
hypotension
tachycardia
facial flushing
headache
what is
nifedipine (procardia)
given with?
terbutiline (brethine)
what should
nifedipine (procardia) NEVER
be given with?
magnesium sulfate
classification of
terbutaline (brethine)
tocolytic
effects of
terbutaline (brethine)
hypotension
tachycardia
palpitations
pulmonary edema
facial edema
fetal tachycardia
use of
terbutaline (brethine)
tocolysis
how is
terbutaline (brethine)
administered
given IV through infusion pump titration then moved to PO.
May use SQ doses for acute sort term use.
classification of
Bupivicaine (marcaine)
local anesthetic
use of
bupivicaine (marcaine)
epidural anesthesia
effects of
bupivicaine (marcaine)
complications r/t hypotensive episode with epidural
what needs to be monitored when
bupivicaine (marcaine)
is administered
?
BP is monitered q 15 min with epidural anesthesia
classification of
Butorphanol (stadol)
narcotic analgesic
use of
butorphanol (stadol)
pain relief
effects of
butorphanol (stadol)
sedation
can cause trasient loss of FHR variability
neonatal respiratory depression if given close to delivery
classification of
fentanyl citrate (sublimaze)
narcotic analgesic
use of
fentanyl citrate (sublimaze)
synergistic effect with epidural anesthesia
effects of
fentanyl citrate (sublimaze)
adverse effects r/t hypotension w/ epidural
not absorbed systemically
classification of
meperidine
(
demerol
)
narcotc analgesic
use of
meperidine (Demerol)
pain relief
effects of
meperidine (demerol)
sedation
can cause transiet loss of FHR variability
neonatal respiratory depression if given close to delivery
classification of
misoprostol (cytotec)
prostaglandin
use of
misoprostol (cytotec)
cervical ripening
what other use does
misoprostol (cytotec)
have
also used as an abortifacient in 2nd trimester
classification of
nalbupine (nubain)
narcotic analgesic
use of
nalbupine (nubain)
pain relief
effect of
nalbupine (nubain)
sedation
can cause transient loss of FHR variability
neonatal respiratory depression if given close to delivery
classification of
oxytocin (pitocin)
oxytoxic
use of
oxytocin (pitocin)
labor induction
prevention of PPH
what is
oxytocin (pitocin)
the first line drug for?
prevention and treatment of PPH
how is
oxytocin (pitocin)
administered
given through IV infusion pump titration.
classification of
promethazine (phenergan)
antiemetic
use of
promethazine (phenergan)
prevention & treatment of nausea/vomiting
synergistic with narcostics
effects of
promethazine (phenergan)
can cause extrepyramidal effects. use lowest does
classification of
xylocaine
local anesthetic
use of
xylocaine
episiotomy
classification of
carboprost tromethamine (hemabate)
prostaglandin
use of
carboprost tromethamine (hemabate)
severe PPH
3rd line drug for PPH
classification of
Docusate Sodium (colace)
stool softener
use of
docusate sodium (colace)
prevention of constipation
classification of
ferrous sulfate (feosol)
iron replacement
use of
ferrous sulfate (feosol)
prevention & treatment of anemia
what should patients be informed of before administering
ferrous sulfate (feosol)
may turn stools dark
take with vitamin C to increase absorption
classification of
ibuprofen (motrin)
NSAID
use of
ibuprofen (motrin)
pain relief
classification of
medroxyprogesterone acetate (depoprovera)
progestin
use of
medroxyprogesterone acetate (depoprovera)
birth control
administration of
medroxyprogesterone acetate (depoprovera)
given q3months IM
if breastfeeding wait 6 weeks
classification of
meruvax II (rubella vaccine)
vaccine
classification of
methylergonovine maleate (methergine)
ocytocic
use of
methylergonovine maleate (methergine)
PPH
administration of
methylergonovine maleate (methergine)
2nd line drug for PPH (IV)
can be continuged PO
effects of
methylergonovine maleate (methergine)
may increase BP
classification of
morphine sulfate (duramorph; morphine)
narcotic analgesic
use of
morphine sulfate (duramorph; morphine)
pain relief (surgical)
effects of
morphine sulfate (duramorph; morphine)
sedation
how is
morphine sulfate (duramorph; morphine)
used.
duramorph placed in the epidural line for onctinued paid relief up to 24 hours
morphine usual drug in PCA
also given in RR for pain relief
classification of
naproxen sodium (anaprox)
NSAID
use of
naproxen sodium (anaprox)
pain relief
classification of
oxycodone/acetaminophen (percocet)
combination analgesic
classifcation of
rho(D) immune globulin (rhogam)
immunoglobulin
use of
rho(D) immune globulin (rhogam)
prevention of development of antibodies to fetus's Rh-positive blood
administration of
rho(D) immune globulin (rhogam)
given antepartum to mom who is Rh negative at 28 weeks and after amnio or abortion
to Rh negative mom at delivery whose baby is Rh positive
classification of
beractant (survanta)
lung surfactant
use of
beractant (survanta)
improve lung surfactant to decrease incidence of RDS
administration of
beractant (survanta)
given intratracheal only w/i 15 minutes of birth
rescue given with 18 hours of age
indicated for infants 600-1750g
use of
erythromycin 1% ointment
antibiotic used for prevention neonatorum ophthalmia
administration of
erythromycin 1% ointment
should be given w/i first hour of life
state law
what does
erythromycin 1% ointment
prevent?
prevents blindness from gonorrhea & chlamydia
use of
Hep B Vaccine (Recombivax HB)
prevention of HepB
administration of
Hep B Vaccine (Recombivax HB)
recommended w/i 1st 12 hours after birth
series of vaccines
use of
naloxone (narcan)
reversal of resperatory depression r/t narcotics
administration of
naloxone (narcan)
given IM
classification of
Phytonadione (aqua mephyton)
vitamin K
use of
Phytonadione (aqua mephyton)
prevention of hemorrhagic diagnoses of the newbown
Author
Anonymous
ID
75755
Card Set
OB Meds
Description
medications commonly used in OB nursing
Updated
2011-03-29T01:11:16Z
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