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Mother baby pharm 2
| Question | Answer |
|---|---|
| Why is Abrysvo given? | To protect the baby against lower respiratory tract disease caused by RSV |
| When is Abrysvo given? | Between 32-36 weeks |
| Why can't Abrysvo be given before 32 weeks? | Because it could cause preterm labor |
| Why must Abrysvo be given before 36 weeks? | It may not fully protect the baby from the virus because it hasn't had enough time to build the antibodies |
| Abrysvo adverse effects: | Pain at injection site Headache Muscle pain Nausea Low birth weight in babies Jaundice in babies Fatigue |
| What months is Abrysvo usually given? | September through January. Southern states may elect to give in different months. |
| Abrysvo nursing implications: | Explain to the mom why you are giving Explain to the mom the adverse effects of the injection and what to report |
| Why are tocolytic medications given? | To delay or stop premature uterine contractions. |
| What are some uses for tocolytic medications? | To allow fetal heart maturation Allow time to transport to specialized care Helps to relax moms muscle to change from a breech position |
| What kind of drug is Nilfedipine (Procardia)? | A calcium channel blocker |
| Why is Nilfedipine (Procardia) used? | To delay preterm labor (relaxes smooth muscles) |
| When is Nilfedipine (Procardia) given? | Between 24 and 34 weeks |
| What is the loading dose of Nilfedipine (Procardia)? | 20 mg PO |
| When may another dose of Nilfedipine (Procardia) be given? | If contractions continue after 20 minutes they are given 10 mg PO q 20 min for 2 doses |
| What is used if contractions continue after 2 doses of Nilfedipine (Procardia)? | Another tocolytic drug is used |
| Nilfedipine (Procardia) adverse effects: | Flushing Headache Nausea Dizziness Transient maternal hypotension Transient maternal tachycardia |
| Nilfedipine (Procardia) contraindications: | Fetal death Eclampsia Concurrent use of magnesium sulfate Maternal heart failure |
| Nilfedipine (Procardia) nursing implications: | Monitor vital signs before and after drug Continuous fetal monitoring Monitor for adverse effects |
| Why is Terbutaline not commonly used? | It has caused fetal deaths |
| Why is Terbutaline given? | To stop or delay preterm labor |
| How long can Terbutaline delay labor? | 72 hours or longer |
| What are some Terbutaline contraindications? | Heart disease High blood pressure Seizures Overactive thyroid |
| How is Terbutaline administered? | SQ or IV (may have pump) Injected into shoulder |
| Can Terbutaline be repeated? | Yes, once. |
| How long can Terbutaline be used for? | No more than 2 days |
| If contractions do not stop after the repeated dose of Terbutaline is administered, what action is took? | Change to another drug |
| Terbutaline adverse effects: | Racing HR MI Hyperglycemia Tremors Restlessness Paradoxical bronchospasm Convulsion Tachycardia |
| What are some signs of paradoxical bronchospasm? | Wheezing Cough Dyspnea Tightness in chest and throat |
| Terbutaline nursing implications: | Monitor to see if contractions stop Watch blood sugar in mom |
| What kind of drug is Bethmethasone? | Steroid |
| Why is Bethmethasone given? | To helo speed up lung development by releasing surfactant |
| When is Bethmethasone given? | Between 24 and 33 weeks if the mother is high risk of going into labor in the next 7 days. |
| How is Bethmethasone administered? | 1 deep IM injection Single dose |
| Bethmethasone adverse effects: | Temporarily reduced fetal movements Headache Nausea and vomiting |
| What type of drug is Methergine (Methylergometrine)? | A uterotonic medication |
| What are uterotonic medications? | Causes uterine contractions used to treat uterine atony and prevent post partum hemorrhage. |
| What are uses for Methergine (Methylergometrine)? | Abortion Prevent and control bleeding that comes from the uterus that can happen after child birth |
| Methergine (Methylergometrine) adverse effects: | Decrease in breast milk (if given after birth) Dizziness Vomiting Sweating Seizures Headache Foul taste |
| Methergine (Methylergometine) contraindications: | Hypertension Cardiac disorders |
| Methergine (Methylergometine) nursing implications: | Monitor bleeding (How much and did it stop) Mom shouldn't breast feed until 12 hours after administration Monitor VS (BP before and after dose) |
| How long does mom need to wait to breast feed after Methergine (Methylergometine) and why? | 12 hours and because the drug could be passed to the infant |
| How can Methergine (Methylergometine) be administered? | IM IV PO |
| What are uses for Carboprost (Hemabate)? | Can be used to cause abortion Treat post partum hemorrhage after birth |
| What is the dose given of Carboprost (Hemabate)? | 250 mcg |
| How is Carboprost (Hemabate) administered? | Deep IM |
| How often can Carboprost (Hemabate) be administered? | 15 to 90 minutes |
| Carboprost (Hemabate) contraindications: | Active renal disease Hepatic disease |
| Carboprost (Hemabate) adverse effects: | Headache Vomiting Increase in uterine bleeding Fever SOB |
| Carboprost (Hemabate) nursing implications: | Monitor for signs of wheezing, chest tightness, dyspnea, rash, swelling of face, lips, or throat Delay breast feeding for at least 6 hours |
| How long must mom wait to breast feed after taking Carboprost (Hemabate)? | At least 6 hours |
| Why is Zurzuvae (Zuranolone) given? | For post partum depression |
| How is Zurzuvae (Zuranolone) administered? | PO Usually at night With fat containing foods |
| What should they do if they missed a dose of Zurzuvae (Zuranolone)? | Continue to take once daily |
| How long is Zurzuvae (Zuranolone) taken? | 2 weeks or 14 days |
| Zurzuvae (Zuranolone) adverse effects: | Somnolence (drowsiness) Dizziness Diarrhea Fatigue UTI Decrease in alertness and awareness |
| Zurzuvae (Zuranolone) client education: | No double dosing High risk for falls Report suicidal tendencies to HCP No alcohol Tell HCP is breast feeding as it is unknown if it passes through milk If taking opioids it may cause CNS depression |
| Examples of fat containing foods: | Avocadoes Nuts Dark chocolate Whole eggs Butter Olive oil Cheese Whole milk Ice cream |
Created by:
KatHal7335
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