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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

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Anonymous

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Card Set

OB Meds

Description

medications commonly used in OB nursing

Updated

2011-03-29T01:11:16Z

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