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Pharm Test #2 Cont.

Pharm Test #2 (ch.47)

QuestionAnswer
Which classification are the drugs Oxytocin & Pitocin in? Oxytocic
Which classification stimulates uterine smooth muscle, producing uterine contractions? Oxytocic
Which classification stimulates mammary gland smooth muscle, facilitating lactation? Oxytocic
Which classification has a antidiuretic effect? Oxytocic
What are the uses for Oxytocic drugs? *Induction/Augmentation of labor *Management of inevitable or incomplete abortion *Control of post partum bleeding/hemorrhage *Stimulation of milk letdown reflex
What are the adverse reactions of Oxytocic drugs? *Fetal bradycardia *Uterine rupture *Uterine hypertonicity *Hypotension *serious water intoxication (fluid overload) *serious water intoxication= drowsiness, confusion, headache, wheezing, coughing, and rapid breathing
What are the contraindications for a patient taking Oxytocic drugs? *Labor induction when vaginal delivery is contraindicated (unfavorable fetal postion, placenta previa, severe toxemia, and CPD) *Obstetric emergencies *Fetal distress *Hypertonic uterus
Oxytocic drug interactions include: Severe hypertension when given with vasopressors
What are the nursing interventions for a patient taking Oxytocic drugs? *Administer IV on a pump *Continuous FHR monitoring *Assess uterine contractions (intensity, frequency, and duration) *IF SIGNIFICANT CHANGE IN FHR OR CONTRACTIONS STOP THE PITOCIN AND NOTIFY MD *Monitor for s/s of water intoxication
What patient teaching would you give to someone taking Oxytocic drugs? *Patient should expect contractions to become more intense after administration *Administer nasal spray 2-3 minutes prior to planned breast feeding
Which classification includes the drug Magnesium sulfate? Mineral and electrolyte replacement, Tocolytic
Which classification of drugs prevent or control convulsions by blocking neuromuscular transmission Mineral and electrolyte replacement, Tocolytic
Which classification of drugs act peripherally to produce vasodilation Mineral and electrolyte replacement, Tocolytic
What are the uses for Mineral and electrolyte replacement, Tocolytics? *anticonvulsant associated with severe eclampsia or pre-eclampsia *Management of preterm labor
Mineral and electrolyte replacement, Tocolytic adverse reactions include: *Hypotension *Depressed reflexes *Flaccid paralysis *Decreased respiratory rate *Drowsiness, fatigue *Blurred vision *Flushing, sweating *Headache
Contraindications for a patient taking Mineral and electrolyte replacement, Tocolytic medicines would include: *Hypermagnesemia *Hypocalcemia *Heart block, myocardial damage *Anuria *Within 2 hours of delivery
Mineral and electrolyte replacement, Tocolytic interactions include: *increased effectiveness of CNS depressants (opioids, analgesics, & sedatives)
Nursing Interventions for a patient taking Mineral and electrolyte replacement, Tocolytic medications include: *Monitor HR, BP & respirations (respirations should be greater than or equal to 16/minute) *Monitor intake and output (urine output should be greater than or equal to 30 ml/hr) *Monitor neurologic status, DTR
More Nursing Interventions for a patient taking Mineral and electrolyte replacement, Tocolytic medications include: *Magnesium toxicity: (loss of DTR, resp less than 12/min, urine output less than 30 ml/hr, ANTIDOTE: CALCIUM GLUCONATE *Monitor newborn for hypotension, hyporeflexia, & resp. depression
Created by: ashley/michelle
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