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Pharm Ch 55

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.
Created by: cdanella