exam 3 pt 4

Question 1

side effects of tylenol

Answer 1

same as ibuprofen

Question 2

pt teaching for tylenol

Answer 2

assess for rash/stevens johnson

do not take more than 4000 mg daily-can lead to hepatotoxicity

Question 3

anti-inflammatory, analgesic, antipyretic used for mild to moderate pain

Answer 3

toradol

Question 4

max days and indication of toradol

Answer 4

5 days max

for short term management of pain

Question 5

side effects and contraindications of toradol

Answer 5

side effects same as ibuprofen

contraindicated: increased risk of bleeding, esp with other NSAIDS

Question 6

pt teaching with toradol

Answer 6

1) avoid pt with asthma (hypersensitivity)
2) advise pt to avoid driving if dizy
3) avoid concurrent use of NSAIDS d/t bleeding risk

Question 7

opioid antagonist that serves as an antidote to reverse the effects of opioids

Answer 7

narcan

Question 8

narcan leads to severe and immediate…

Answer 8

withdrawal symptoms:

irritability, tremors, fever, vomiting, seizures

Question 9

pt teaching of narcan

Answer 9

monitor RR, BP and s/s of opioid withdrawal and pain level
educate pt on immediate pain expectation with narcan
*delay breastfeeding for 2 hrs after last dose given

Question 10

what is Bisacodyl (Dulcolax, Muxol, Fleet) and how does it work

Answer 10

Laxative**
works on colon to produce bowel movement, increases fluid and salt secretion
orally: takes 8 hrs to work
rectally: takes 15-60 min to work

Question 11

what is colace (docusate sodium) and how does it work

Answer 11

stool softener**
works by allowing more water to be absorbed by the feces in the colon
orally: BM will occur in 1-3 days
rectally: BM will occur in 20 min

Question 12

opioid analgesic for moderate to severe pain

Answer 12

Percocet (oxycodone and acetaminophen)

Question 13

when should Percocet be discontinued

Answer 13

by third of fourth day postpartum

Question 14

oral combination preparation containing a stool softener and a stimulant laxative to prevent or treat constipation

Answer 14

Peri-Colace

Question 15

what is important to remember about Peri-Colace

Answer 15

take with a full glass of water

Question 16

what is important to remember about postpartum birth control

Answer 16

we want pt to wait 3 wks to establish max breast milk prior to taking the progesterone only pills
also want clotting risk to return to normal

Question 17

what are the two progesterone only BC pills

Answer 17

Micronor (Norethindrone) and Depo-Provera

Question 18

indication and contraindication of Micronor

Answer 18

indication: progesterone only contraceptive
contraindication: pregnancy, hx of cigarette, >35 y/o, thromboembolic disease, major surgery with period of immobiliyt, diabetes, uncontrolled HTN, hx of estrogen cancer, liver disease, hypersensitivity to parabens

Question 19

side effects of Micronor

Answer 19

depression, headaches, thromboembolism, edema, HTN, thrombophlebitis

Question 20

route of Micronor

Answer 20

PO

start on the first day of menses, taken daily and continuously

Question 21

pt teaching of Micronor

Answer 21

take oral meds same time each day
if dose missed, take ASAP
spotting or light bleeding may occur
stop medication and tell HCP if pregnancy suspected
routine follow up
use sunscreen
avoid smoking

Question 22

indication and contraindication of Depo-Provera

Answer 22

indication: prevention of pregnancy
contraindication: hypersensitivity to parabens, missed abortion, thromboembolic disease, cerebrovascular disease, severe liver disease, breast/genital cancer, pregnancy

Question 23

side effects of Depo-Provera

Answer 23

CNS depression, retinal thrombosis, PE, thromboembolism, thrmbophlebiits, drug induced hep, gingival bleeding, chloasma, melasma. anaphylaxiz, breast cancer, wt changes

Question 24

route of Depo-Provera

Answer 24

IM in deltoid or gluteus maximus (SQ and PO also availabel)

Question 25

pt teaching of Depo Provera

Answer 25

do not massage after injection
explain dose schedule
notify HCP of visual changes, weakness, incoordination, difficulty with speech, chest or calf pain
always keep 1 mo supply available
bleeding may occur

Question 26

describe Rhogam

Answer 26

given to women with Rh negative blood to suppress abtibody formation against baby’s blood after birth

Question 27

when is Rhogam given

Answer 27

28 wks gestation

Question 28

describe rubella vaccine

Answer 28

given to women who have not had rubella or are serologically non immune to prevent contraction of rubella

Question 29

when is rubella vaccine given

Answer 29

before or after becoming pregnant

*avoid becoming pregnant withing 28 days of getting vaccine

Question 30

describe DTAP

Answer 30

given to women who are non immune to preent the contraction of diphtheria, tetanus, pertussis

Question 31

when is DTAP given

Answer 31

between 27 and 36 wks gestation

Question 32

what meds are immediately given to the infant after delivery

Answer 32

erythromycin opthalmic ointment, vitamin k, hepatitis B vaccine

Question 33

why is erythromycin opthalmic ointment given to infants

Answer 33

given within the first two hours of birth to prevent neonatal conjunctivitis from coming in contact with gonorrhea when passing through the birth canal

Question 34

what can ophthalmia neonatorum (gonorrhea) lead to if not treated

Answer 34

blindness of the baby

Question 35

why is vitamin k given to the infant after delivery

Answer 35

to prevent hemorrhagic disease ande promote formation of clotting factors in liver
vitamin k is synthesized by intestinal flora which is not present at birth

Question 36

why is Hep B given to infant after delivery

Answer 36

induce protective antihepatitis B antibiodies into the baby

immunize against infection caused by Hep B