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Ob medication test
| Question | Answer |
|---|---|
| Magnesium sulfate:Uses | •Uses- prevent and treat convulsion caused by preclampsia or eclampsia |
| Magnesium Sulfate: dosage loading and maintance | - given piggyback, with loading dose of 4 to 6 g diluted in at least100 mg over 15 to 30 minutes |
| Magnesium sulfate: theraputic level | 4 to 7.5 mEq/L or 5-7 mg/dL |
| Magnesium sulfate: nursing considerations | monitor bp, pulse and respiratory frequently during loading dose and every 15-30 minutes at other times, rarely given im...painful and tissue necrosis can occur. If given im use z track |
| Magnesium sulfate: S&S of toxicity | •Early- decreased DTRs, nausea, feeling warm, flushed, muscle weakness, decreased reflexes, slurred speech Other serious signs- loss of patellar reflexes, respiratory and muscular depression, plights, decreased LOC |
| magnesium sulfate: nurses role in toxicity | stop infusion, calcium gluconate may be ordered and given iv push over at least 3 mins |
| Magnesium sulfate: effect on labor | - increases duration, may need augmentation with oxytocin |
| Aqua mephyton uses | often given to newborns after birth to prevent hemorrhaging (Promotes clotting factors in the liver, except in preterm infants who has no muscle mass |
| Aqua mephyton doses | - 0.5 - 1 mg im within two hours of birth, maybe repeated if signs of bleeding, in preterm infants with no muscles mass, dilute and give over 10 to 15 minutes with the infant monitored with cardiorespiratory monitor |
| Aqua Mephyton adverse reactions | edema, erythema, pain at injection site, hemolysis, jaundice, hyperbilirubinemia, particularly in preterm infants |
| Aqua mephyton nursing considerations | middle third of vastus lateralis, 25 gauge, 5/7 to 7/8 needle, clean injection, insert at 90 degrees, aspirate, and inject slowly. Rub gentle on injection site with a dry gauze to decrease pain and observe for signs of bleeding at site |
| Erythromycin uses | mandatory in U.S. as prophylactic agent in the eyes as a precaution against ophthalmia neonaturm in newborns, which is an inflammation of the eyes form gonorrheal and chlamydial infection contracted during passage through the mothers birth canal |
| Erythromycin action | bactericidal and static |
| Erythromycin doses | 1-2 cm ribbion to lower onjuctival sac |
| erythromycin adverse reaction | may cause chemical cojuctivitis that last 24-48 hours, vision may be temporary blurred |
| Erythromycin nursing consideratio | give 1-2 hours after birth, open eye by putting a thumb and finger at the corner of each lid and gently pressing on the preiorbital ridges, ointment from inner canthus of eye to outer, do not touch tube to eye, after 1 min excess ointment may be wiped off |
| Methergine uses | postpartom bleeding when oxytocin is not effective |
| methergine action | contraction of uterus |
| methergine side effects | hypertension, nausea, vomiting, headace |
| methergine contraindication | hypertension, cardiac disease |
| Methergine dosage and route | - 0.2 mg im q 2-4 hours up to 5 doses, 0.2 mg iv only for emergency |
| Methergine nursing consideration | check bp before administering, don’t give if bp is more than 140/90, monitor vaginal bleeding and uterine tone |
Created by:
roadrunnergym42
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