Medications Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
Terbutaline (aka Brethine) | Beta adrenergic used for pre term labor |
Terbutaline is administered how? | Oral IV Sub Q injection |
Side effects of Terbutaline | Nervousness restlessness insomnia headache tachycardia Nausea hyperglycemia |
Rare but serious side effect of Terbutaline | Pulmonary edema |
Fetal effects of Terbutaline | tachycardia |
What med can reverse severe adverse effects? | Propranolol |
Nursing care for Terbutaline | Assess: apical HR and lung sounds before administering fetal HR Notify doc if maternal HR >120 , fetal HR >160bpm or wet lung sounds |
Magnesium sulfate | Decreases frequency and duration of contractions |
Magnesium sulfate is administered how? | IV loading dose 4-6gms Maintenance dose 1-4 g/hr to stop ctx |
Magnesium sulfate protocol | presence of DTR (knee jerk) Urine output of at least 30ml/hr Respirations at least 12/ min |
Maternal Side effects of Magnesium sulfate | extreme warmth perspiration flushing N/V blurred vision lightheadedness lethargy constipation muscle weakness |
Maternal Severe side effects of Magnesium sulfate | Chest pain SOB fluid build up in lungs low B/P and fast pulse |
Fetal side effects of Magnesium sulfate | Decreased variability of FHR Lethargic and may experience difficulty breathing after birth Infants of moms treated w/ drug more often admitted to ICN |
Nursing management of Magnesium sulfate | follow protocol: DTR's (knee jerk) output RR monitor heart and lung sounds serum magnesium levels FHR monitoring Calcium gluconate antidote Monitor I&O b/c it is excreted by kidney |
Nifedipine | Prevents preterm ctx Does not stop labor if it is truly labor |
Nifedipine is administered how? | orally |
How does Nifedipine work? | blocks passage calcium into tissues, relaxing uterine muscles and blood vessels throughout body |
Side effects of Nifedipine | dizziness, lightheadedness, skin flushin/ redness, headache, nausea, muscle cramps or tremors, hypotension |
Nursing Implications for Nifedipine | Check B/P report pulse >110 DO NOT USE WITH MAGNESIUM SULFATE Monitor for fetal effects: fetal bradycardia, transient fetal tachycardia |
Antibiotics | Used for infection both systemic and local strong association w/ PTL and PROM Lab work (cultures may take 24-48 hours) Amniocentesis for chorioamnionitis |
Broad spectrum antibiotics used | Ampicillin or Penicillin Erythromycin or Clindamycin Metronidazole |
Ampicillin or Penicillin dosage | 2Gm IV q 6 hrs x 2 days then 250mg po q8 hrs x 1 day |
Erythromycin or Clindamycin | 250mg IV q6 hrs x 2 days then 333 mg po 8hrs x 1 day |
Corticosteroids | ACOG recommended for infants delivering prior to 34 wks Given to speed lung maturation if <34 wks Delay birth for 24 hrs to give benefit |
Teaching for Corticosteroids | teach patient signs of pulmonary edema |
Corticosteroids Dose and Route | Betamethasone: 12mg 2 doses IM (mom) 24 hrs apart Dexamethasone: 6 mg 4 doses IM (mom) 12 hrs apart |
Progesterone | Give to those who are high risk for preterm delivery and have prior hx of PTB It is Preventative, not treatment once PTL has started |
Progesterone Dose and Route | Given IM q week beginning around 16-20 weeks and continuing through 36 wks |
Created by:
Jaycee420
Popular Nursing sets