Nursing: Labor & Delivery Meds
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| What Routes can Oxytocin,Pitocin,and Syntocinon be given? | IV or IM | What are the Objective Data Evaluations for Cytotec? | 1. Cervical softening and dilation occur with ultimate vaginal delivery as the goal.
2. Cessation or control of bleeding in the patient who has experienced a postpartum
hemorrhage
3. Delivery of demised fetus
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| How much Oxytocin,Pitocin, Syntocinon can be given my the IM Route? | 10 units | What are the Usual Dose routes for Cytotec? | 1. PO 25 to 50 mcg Q4h for up to 4 doses; Vag
25 to 50 mcg Q4h for up to 4 doses 2. 200 to 1000 mcg per rectum 3. 200 to
1000mcg vag/PO/rectally
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| How much Oxytocin,Pitocin, Syntocinon can be given my the IV Route? | 0.5mu-2mu every 30 to 60 minutes adding up to 30mu a minute. Or 30 mu in 500mL of NS Solution with a bolus of (999mL/hr).Maintence @ 100mL to 200mL/hr. A second bag can be infused | What is the Route Penicillin can be given? | IV
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| What are the Side Effects of Oxytocin,Pitocin, Syntocinon? | 1.Arrhythmias,2. Hypertension, 3. tetanic uterine contractions, 4. uterine rupture, 5.fetal bradycardia, 6.fetal tachycardia | What is th eususal dose route for Penicillin? | initial dose of 5 million units IVPB followed by
2.5 million units IVPB Q4H until delivery.
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| What are the Clinical Indications for Oxytoxin,Pitocin, Syntocinon? | 1. Induction of labor 2. Augmentation of labor 3. Control of Postpartum Bleeding | What is the generic name for Penicillin? | 1.Penicillin G; 2.Pfizerpen
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| What are the nursing Considerations for Oxytoxin,Pitocin, Syntocinon? | When administering for induction or augmentation, the nurse must utilize continuous EFM. | What is the Medication Class for Penicillin? | 1.Anti-infectives; 2. penicillins
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| What is the generic name for Magnesium Sulfate | Magnesium Sulfate | What is the Medication Class for Magnesium Sulfate? | 1.anticonvulsant; 2.mineral and electrolyte replacement
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| What are the 2 Clinical Indication for Magnesium Sulfate? | 1. Treatment of PIH 2. Treatment of PTL | What routes can Magnesium Sulfate be given? | IV
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| What are the 6 Side Effects of Magnesium Sulfate? | 1.depressed DTRs, 2.drowsiness, 3.flushing, 4.diaphoresis, 5.hypotension (fetal side effects – respiratory depression), 6.magnesium toxicity | What is the usual dose for Magnesium Sulfate? | 40 GMS in a 1000mL solution of D5W or
D5LR. Initially a bolus dosage of 2 to 4 GM infused over 20-30 minutes and then a
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| What are the Nursing Considerations for Magnesium Sulfate? | 1.continually assess DTRs with the patient,2.assess for magnesium toxicity, 3.For infant whose mom recieved Mag Sulfate respiratory depression issues@ delivery | What is the Antedote for Magnesium Sulfate? | Calcium Gluconate
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| WHat is the Objective Evaluation for Magnesium Sulfte? | 1.No PIH: BP values willdecrease.evaluation would include giving pre and during administration BP values. 2.Control PTL no preterm delivery,little to no contractions | WHat is the Clinical indication for Penicillin? | prevention of GBS to the infant in the positive GBS mother or the mother
with an unknown classification
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| What is the generic name for Cytotec? | Misoprostol | What is Medication Classification for Cytotec? | 1.prostaglandin E1 analogue; 2.antiulcer agents, 3.cytoprotective agents
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| What are the 3 Clinical Indication for Cytotec? | 1. Cervical ripening/Induction 2. PP Hemorrhage 3. Induction for IUFD | What routes can Cytotec be given? | 1. PO and vaginal 2. Rectally 3. PO, Vaginal, Rectally
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| What are the 2 Side Effects for Cytotec? | 1.diarrhea, 2. headache | What are the Nursin Considerations for Cytotec? | For vaginal placement, pt must remain flat for 20-30 minutes
after placement; the nurse must utilize continuous EFM for 2 hours post dosage by any
route.
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| What are the 3 Side Effects of Penicillin? | 1.epigastric distress; 2.allergic reactions (hives; difficulty breathing; swelling of the face, lips, tongue or throat); 3.IV burning and irritation; | WHat are the Nursing Considerations for Penicillin? | Observe for allergic reactions and notify MD; notify nursery
personnel of the number of doses received prior to delivery.
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| What is the Objective Evaluation Data for Penicillin? | that the infant would be free of infection related to GBS | What is the generic name for Terbutaline? | brethine
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| What is the Medication Class for Terbutaline? | 1.B2 agonist; 2.bronchodilator; 3.adrenergics | What is the Clinical Indication for Terbutaline? | Currently
used in an emergent situation for tetanic contractions. FDA recommended to pull for the use of preterm labor in 2011
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| What route can Terbutaline be given? | PO | What is the Usual dose route for Terbutaline to be given? | Currently 0.25mg one time IV
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| What is the FDA protocol for Terbutaline? | due to the “potential for serious maternal heart problems and death | If Terbutalin hasto be given whats the exact dosing? | 0.25mg SC Q 15 minutes x 3 total doses. or Give 2.5 to 5mg PO 30 minutes after the last SC dose; then give 2.5 to
5mg Q4 to 6 hours prn contractions
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| What are the 5 Side Effects of Terbutaline? | 1.arrythmias, 2.palpitations, 3.nervousness, 4.restlessness, 5.tremors | What are the Nursing Considerations for Terbutaline? | Dosage should be held if HR above 130.
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| What is the Objective Evaluation Data for Terbutaline? | Effectiveness would be determined by the cessation of contractions or the prevention of preterm birth. | What is the generic name for Hemabate? | Carboprost Tromethamine
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| What is the Medicaltion Class for Hemabate? | prostaglandin F2α | What is the Clinical Indication for Hemabate? | Control of Postpartum hemorrhage
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| What Route can Hemabate be given? | IM | What is the usual dose for Hemabate? | 250mcg IM x 1 dose
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| What are the 4 Side Effects of Hemabate? | 1.diarrhea, 2.nausea; 3.fever; 4.increased BP | What are the Nursing Cosiderations for Hemabate? | Staff need to be aware of the potential for explosive
uncontrolled diarrhea within 1 hour of administration.
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| What is the Objective Evaluation Data for Hemabate? | Cessation or control of bleeding in the patient who has experienced a postpartum hemorrhage | What is the generic name for Methergine? | Methylergonovine
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| What is the Medication class fir Methergine, and Methylergonovine ? | 1.oxytocic;2. ergot alkaloids | What is the Clinical Indication for Methergine, and Methylergonovine? | control of postpartum hemorrhage
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| What route can Methergine and Methylergonovine be given? | 1.IM 2. PO | What is the Usual dose for Methergine and Methylergonovine? | 1. 0.2mg IM initial dose; 2. 0.2 to 0.4 mg PO Q6H
with a limited number of doses specified
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| What are the Side Effects of Methergine and Methylergonovine? | 1. increased BP, 2.nausea, 3.vomiting, 4.cramps, 5.hypertension | What are the Nursing Considerations for Methylergonovine? | Nurse must document BP prior to administration of PO
medication; Hold and notify MD if BP > 140/90
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| What is the Objective Evaluation for Methergine and Methylergonovine? | Cessation or control of bleeding in the patient who has experienced a postpartum hemorrhage | What are the generic names for Procardia? | 1.Nifedipine, 2.Adalat CC,3. Adalat PA,4. Adalat XL, 5.Afeditab CR, 6.Apo-Nifed, 7.Nifedical XL,8. Novo-Nifedin, 9.Nu-Nifed,10. Procardia XL
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| What is the medication Class for Procardia? | 1.Antianginals; 2.Antihypertensives; 3.Calcium channel blocker | WHat is the Nursing Indication for Procardia? | Treatment of PTL – relaxes the smooth muscle of the uterus to prevent
contractions by blocking calcium
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| What is the Route that Procardia can be given? | PO | What is the Usual Dose for Procardia? | 2.Initial dose of 10mg PO Q 20 min X 3 doses;
2.then 10mg Q 6 to 8 H
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| What are the 5 Side Effects for Procardia? | 1.dizziness,2. transient tachycardia, 3.headache, 4.arrhythmias, 5.hypotension | What is the Nursing Consideration for Procardia? | Monitor BP
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| What is the Objective Evaluation Data for Procardia? | 1.Control of PTL; 2.no preterm delivery is the goal; 3.cessation or decrease in intensity and frequency of contraction pattern. |
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| What is the generic name for Oxytocin? | Pitocin, Syntocinon, | What are the Nursing Objective Evaluation Data for Oxytocin, Pitocin, and Syntocinon concerning Induction and Augumentation of Labor? | Adequate contraction pattern leading to cervical change with ultimate goal of vaginal
delivery
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| What is the Medication Class for Oxytocin? | Exogenous Hormone | What are the 2 Nursing Objective Evaluation Data for Oxytocin, Pitocin, and Syntocinon concerning postparteum bleeding? | Control of postpartum bleeding to maintain within expected parameters. (maintenance
of less than 500mL for a vaginal delivery)
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