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OB Medication Quiz

OB medications used

TermDefinition
Pitocin route and dosing IV 20-60units diluted in 500ml-1000ml
generic for Pitocin oxytocin
Pitocin action stimulate uterine contractions; firms the uterus when hemorrhaging/ prevent hemorrhaging
Nursing Considerations for Pitocin titrated doses during induction/augmentation of labor continues doses after delivery of placenta *students may not administer!*
Side effects of Pitocin hyperstimlation/uterine rupture placental abruption
Terbutaline action relaxes uterus in preterm labor or with tetanic uterine contractions
generic for Terbutaline brethine
Terbutaline routes SQ IV PO
Terbutaline side effects tachycardia in mom & fetus
Nursing considerations for Terbutaline not for long-term use to stop premature labor mother may need EKG for multiple doses
Terbutaline dosage 0.25-5mg q4-6h
Methergine action induce uterine contraction to control PP bleeding
Methergine routes/dosing PO IM 0.25mg
Methergine side effects Increase in BP due to sustained, hard uterine contractions
Nursing consideration for Methergine Do not give to patients with HTN
Hemabate route and dosing IM 250mcg
Hemabate action prostaglandin to control PP bleeding
Hemabate side effects NVD headache
Nursing consideration for Hemabate given with Lomotil *Do not give to patient's with hx of asthma!*
Cytotec routes vaginal rectal oral
Cytotec dosing 1/4 of 25mg tablet intravaginally/rectally
Cytotec action *off label use* for induction of labor and/or PPH
Cytotec side effects cramping is expected stay in bed for at least 1 hour after insertion
Cytosec nursing considerations controversial topic
Magnesium sulfate action in preterm labor: as a neuroprotectant for the fetus and uterus relaxant to prevent contractions in preeclamptic- decrease CNS irritability to prevent seizures
magnesium sulfate side effects may lower BP can damage kidneys metallic taste HA NV flushing blurred vision
magnesium sulfate route and dosing IV 4g bolus starting maintenance 1-3g/hr mixed in IV solution
Nursing considerations for magnesium sulfate monitor vital signs, reflexs, output q1h use fans, A/c must monitor mag levels closely potential to become toxic (8)
Calcium gluconate route/dosage 1g IV
calcium gluconate action antidote to magnesium sulfate
calcium gluconate side effects reverse effects of mag
Nursing considerations for Calcium gluconate keep at bedside
Betamethasone action to mature fetal lungs given for any gestational date <37wks
Betamethasone route and dosing IM 2 doses min is preferred q12-24h varies by drug
Nursing considerations for Betamethasone given to mother on admission and then timed q12-24 after initial dose
Ampicillin route/ dosing IV 2 gm initial, then 1gm q4h until birth
Ampicillin action treatment for GBS + mothers may be also prescribed before a c/s to reduce infection exposure when abdomen is open
vitamin K dosage 1mg IM
vitamin k action given to neonates within 1 hour of birth to prevent hemorrhagic disease
erythromycin dosage a "ribbon" topical OU; must stay on for min of 60 sec then wiped away; state law
erythromycin action prophylaxis for neonate; given within 1 hour of birth
Hepatitis B vaccine dosing 0.5ml IM
Hep B action Neonatal vaccine
Nursing considerations for Hep B Given before discharge; usually comes prefilled/ ready to give
Lidocaine 1% action used prior to episiotomy, circumcision, or IV starts
Lidocaine 1% routes local subdermal dosage varies
sodium citrate dosage 30ml PO
sodium citrate action preop to neutralize stomach acid; given prior to procedure
sodium citrate side effects vomiting
nubain route/dosing 5-10 mg IV/IM
nubain action labor pain, itching
fentanyl action labor pain
fentanyl side effects grogginess
Nursing considerations for fentanyl place on falls precautions
fentanyl route/dosing 100mg IV
torodol route/dosing 30-60mg q6h IV
torodol action post-op s/s of pain
percocet route/dosing 5mg/325mg combo
percocet action pain associated w/ involution (shrinkage of uterus), post-op c/s, episiotomy
percocet side effects drowsiness, nausea, itching
Duramorph/Fentanyl Epidural
Duramorph/ Fentanyl action pain relief given by anesthesia
Duramorph/Fentanyl side effects itching, respiratory depression
Ibuprofen route/dosage PO 600mg q6h PRN or scheduled
Ibuprofen action PP pains
Ibuprofen side effects GI upset; take with food
Acetaminophen route/dosage PO 325-1000mg q4-6h PRN **max dose 4g/4000mg
Acetaminophen action PP pains, maternal fever
Acetaminophen side effects GI upset
Docusate action stool softener; treat constipation (take with full glass of water
Docusate side effects diarrhea
Docusate route/dosage PO 100mg QD, BID, HS, AC
Iron route/dosing PO 325mg QD or BID
Iron action anemia
Nursing considerations for iron Take with vit C if able for better absorption
Iron side effects constipation, upset GI
senakot route/dosing PO 2 tabs PRN or HS
senakot action constipation; slow working laxatives
senakot side effect diarrhea, upset GI
benzocaine spray action perineal pain
benzocaine spray route/dosing topical; spray to perineum PRN *usually left at bedside
tucks route/dosing topical; apply to perineum PRN *usually left at bedside
tucks action perineal pain/swelling hemorrhoids
anusol action temporary relief from itching, burning, pain from hemorrhoid
anusol route/ dosing 10 mg PRN HS rectally
Nursing considerations for anusol suppository must be cold to be inserted; use with lubrication
Ambien action sleep aid
Ambien route/dosing PO 1- mg PRN HS
Nursing considerations for Ambien falls precautions
Ambien side effects grogginess, induces sleep
Rubella vaccine route/dosing 0.5ml SQ
Rubella vaccine action women with no immunity to rubella (or equivocal)
Nursing considerations for rubella vaccine prefilled syringe **DO NOT conceive within 3 months; use birth control*
Depo Provera route/dosing 150mg q12-13 weeks IM
Depo Provera action birth control
Nursing consideration for depo provera Increased risk of bone issues long term use not recommended
Depo provera side effects irregular bleeding; depression
Rhogam route/dosing IM typically one; dose varies
Rhogam action given within 72 hrs of birth to Rh + mother neonate or mother who has had miscarriage/trauma to abd prophylaxis to Rh negative pregnant mothers at 28wks
Nursing considerations for Rhogam **dispensed by blood bank! keep in refrigerated until use
Created by: jcs113
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