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Belmont OB drugs
first quiz in OB on drugs
Drug | Action | side effect | route and amount | class |
---|---|---|---|---|
hemabate | postpartum uterine bleeding R/T uterine atony | nausea, vomiting, diarrhea, fever, HA, chills, weakness, uterine or vaginal pain | IM 250 mcg | prostoglandin abortiifacient |
methergine | treatment of uterine atony and postpartum hemorrhage | nausea, vomiting, dizziness, HA, ringing in the ears | PO, IV, IM | oxytocic |
Rhogam | prevent production of anti-RH(0)D andtibodies in Rh negative, 28 wks, win 72hrs, at miscarraige, invasive procedures, vaginal bleeding | pain at site, contraindications: Rh + moms, Rh- moms previously sensitized | IM deep- dorso/ventro gluteal or deltoid | concentrated immunoglobulin directed toward Th(0)D |
bethamethasone | prevents RDS by increasing lung maturity (surfactant) | increase glucose level, increase infection risk | IM inj X 3 | glucocorticoid |
terbutaline | treatment of preterm labor | palpitations; tachycardia, nervousness; fetal tachy (>180 bpm), contraindications: dilated >4cm or if mom's pulse is > 120 | SQ, PO, IV (pump) | tocolytic |
Rubella vaccine | prevent rubella | considerations: never give to pregnant pt, pt should avoid preg X 3mo after inj, rhogam given to pt at same time will prevent from working, assess for egg allergy made from eggs | SQ | (blank) |
Narcan | reverse the action of narcotics -> reverses respiratory depression for mor or baby, also given to decreease itching from epidural opioids | (blank) | IV, IM | narcotic antagonist |
MGSO4 | treatment of preterm labor and/or precclampsia by preventing seizures through CNS depression | can cz Mg toxicity - guided by bl levels of Mg and absent or dimisnished DTRs, flushing and palpitations | IV only, antidote: Ca gluconate | anticonvulsant CNS depression |
Pitocin | to initiate or improve contractions; pp hemorrhage prevention; begin slow at 1 mu/min and incr by 1/min ultil ctxs are q2-3 mins | considerations: can cz hyperstimulation of uterus (too freq and strong), if mom shows signs of tetanic ctxs or baby shows deccel D/C, always hang piggyb style | IV mixed w elet sol and piggybacked into main line | (blank) |