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maternity pharm ATI

maternity

QuestionAnswer
Terbutaline relaxes the smooth muscles and inhibits (decreases) uterine contractions administered subq q4hs
*Ceftriaxone and doxycycline recommended treatment for PID Ceftriaxone single dose IM doxycycline PO 14days
folic acid prevents neural tube defects in newborns
nifedipine (Procardia) Calcium channel blocker used to decrease uterine contractions by relaxing the smooth muscle of the uterus given between 24-34 weeks
*dexamethasone promote the acceleration of fetal lung maturity
*phytonadione given IM to prevent hemorrhage untill newborn can produce its own vitamin K
*Methylergonovine treats postpartum hemorrhage, uterine stimulant
*misoprostol treats postpartum hemorrhage, contracts the uterus and decreases bleeding
betamethasone administration IM in vastus lateralis (only 1 dose is given
methotrexate
ABRYSVO Given to pregnant woman during weeks 32 through 36 weeks to protect the newborn from the development of lower respiratory tract disease caused by RSV
ABRYSO adverse effects Adverse effects Pain at injection site Headache Muscle pain Nausea Low Birth weight in babies Jaundice in babies Fatigue
Medications that are used to delay or STOP premature uterine contractions during pregnancy TOCOLYTIC MEDICATIONS
If given less than 32 weeks can lead to the development of pre term labor. ABRYSVO
TOCOLYTIC MEDICATIONS uses Fetal heart maturation Transport to specialized care breech presentation
NILFEDIPINE (Procardia) adverse effects Flushing Headaches Nausea Dizziness Transient maternal hypotension Transient maternal tachycardia
NILFEDIPINE (Procardia) contraindications Fetal death Eclampsia Concurrent use of Magnesium sulfate Maternal Heart Failure
USES: Try to stop or delay preterm labor. May delay labor 72 hours or longer TERBUTALINE
TERBUTALINE contradictions Heart disease High blood pressure Seizures Overactive thyroid
TERBUTALINE administration SQ or IV. May have a pump (like an insulin pump) Usually injected into the shoulder Dose can be repeated x 1 If contractions do not stop change to another drug Cannot be used for more than 2 days Not used much because of maternal deaths.
TERBUTALINE adverse effects Racing heartrate MI Hyperglycemia Tremors Restlessness Paradoxical bronchospasm (Wheezing, cough, dyspnea, tightness in chest and throat) Convulsion Tachycardia
nursing implications for Terbutaline 1. Monitor to see if contractions stop 2. Watch blood sugar in mom
BETAMETHASONE uses a steroid given between 24 weeks-33 weeks at risk of preterm birth within 7 days. Helps to speed up lung development because it helps the release of surfactant.
METHERGINE (METHYLERGOMETRINE) Uterotonic medication: A medication that is causes uterine contractions used to treat uterine atony and prevent post partum hemorrhage
used for Abortion and Prevent and control bleeding from the uterus that can happen after childbirth METHERGINE (METHYLERGOMETRINE)
METHERGINE (METHYLERGOMETRINE) adverse effects When given after birth may decrease the amount of breast milk produced Dizziness Vomiting Sweating Seizures Headache Foul taste in their mouth
METHERGINE (METHYLERGOMETRINE) contraindications Hypertension Cardiac disorders
Created by: snmartin
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