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Pharm Ch 55
Question | Answer |
---|---|
What is Puerperium? | The period from delivery until 6 weeks postpartum. |
What do Pharmological and nonpharmalogical postpartum drugs do? | Prevent Uterine atony and postpartum hemorrhage.relieves pain from uterine contractions,perineal wounds,and postpartum hemorrhage. Enhances or supresses lactaion. Promotes bowel function. Enhances immunity. |
What is the nurses role in postpartum? | To assess and discuss postpartal physical changes and pain management with the client and determine both healing within a standard and effectiveness of medications. To teach the client and administer postpartal medications and narcotic analgesics. |
Common postpartum systemic analgesics are? | Acetaminophen (tylenol), Ibuprofin (motrin), Codein sulfate, Morphine Sulfate, Oxycodone acetaminophen (Percocet) |
What is episiotomy? | Incision made to enlarge the vaginal opening to facilitate newborn delivery. Incision is made on the perineal tissue |
What do you look for during perineal assessment? | Redness,ecchymosis,Edema,discharge,approximation. |
The comfort measures after episiotomy are? | Ice packs,tightning of buttox before sitting,peribottles,cool or warm sitz baths. Also include topical agents such as witch hazel and Nupercainal ointment. |
The side effects of topical agents for episiotomy are? | Burning,stinging,tenderness,edema,rash,tissue irritation,sloughing,tissue necrosis,pruritus,irritation,dryness,and folliculitis. |
Why do you become constipated after delivery? | Residual effects of progesterone on smooth muscle decreases peristalsis, and decrease liquid intake during labor. Decrease in activity and relaxation of abdominal muscles also amplifies the problem. |
Nonpharmalogic treatments for constipation is? | High fiber foods,early ambulation, drinking 64oz of fluid a day, and responding to the urge to deficate. |
Pharmacologic treatments for constipation are? | Stool softners,laxatives,and antiflatulents for cesarean patients. |
What are the side effects of Docusate soduim (Colace)? A constipation drug | Bitter taste,throat irritation,and rash. |
What are the side effects of Sennosids and Docusate soduim. (Peri-Colace)? A constipation drug | Nausea,abdominal cramping,dirrhea,and rash. |
What are the side effects of Bisacodyl Suppositories (Dulcolax)? A constipation drug | Proctitis and inflammation. |
What are the side effects of Magnesium Hydroxide (Milk of Magnesia)? A constipation drug | Abdominal cramps and nausea. |
What are the side effects of Senna (senokot)? A constipation drug | Nausea,vomiting,dirrhea,abdominal cramps; also causes dirrhea in breastfed infants. |
What are the side effects of mineral oil when used for constipation? | Nausea,vomiting,dirrhea,and abdominal cramps. |
What does the RH (d) immune globulin (RhoGRAM)immunization prevent? | RH sensitization process. |
What is RH sensitization? | Developemnt of protective antibodies against incompatible RH-positive blood. |
How is the mother at risk of RH sensitization? | If the fetus has RH-positive blood and the mother has RH-negative blood. |
When is RhoGRAM administered to women? | After maternal/fetal blood mixing. |
Maternal/fetal blood mixing happens during? | Abortion,trauma,manipulation,and ectopic pregancy. |
Side effects and adverse reactions of RhoGRAM are? | Hypotension,chills,dizziness,fever,headache,pruritus,rash,abdominal pain,dirrhea,and injection site reactions. |
What disease causes a devastating infection for the fetus? | Maternal Rubella (German Measles) |
What happens if a unimmunized women contracts Rubella during the first trimester? | High rate of abortion and neurologic and developement associated with congenital rubella syndrome. |
Congenital Rubella Syndrome causes? | Cataracts,glaucoma,deafness,heart defects,and menatl retardation. |
Adverse reactions of the MMK vaccine are? | Burning,stinging,regional lymphadenopathy,urticaria,rash,malaise,soar throat,fever,headache,polynevritis,athralgia,and moderate fever. |
What drugs are given to infants immediately after delivery? | Erythromycin opthalmic ointment and Vitamin K |
What is erythromycin opthalmic ointment used on newborns for? | Against eye infections |
Why is vitamin k given to newborn infants? | Prevents hemorrhagic disease |
Erythromycin ointment side effects? | Chemical conjunctivitis which manifests as edema lasting 24-48 hours. |
Vitamin K (aqua-MEPHYTON)side effects? | Pain and edema at injection site. Allergic reactions,rash,hyperbilirubinemia,and jaundice. |