exam 3 pt 4 Flashcards
side effects of tylenol
same as ibuprofen
pt teaching for tylenol
assess for rash/stevens johnson
do not take more than 4000 mg daily-can lead to hepatotoxicity
anti-inflammatory, analgesic, antipyretic used for mild to moderate pain
toradol
max days and indication of toradol
5 days max
for short term management of pain
side effects and contraindications of toradol
side effects same as ibuprofen
contraindicated: increased risk of bleeding, esp with other NSAIDS
pt teaching with toradol
1) avoid pt with asthma (hypersensitivity)
2) advise pt to avoid driving if dizy
3) avoid concurrent use of NSAIDS d/t bleeding risk
opioid antagonist that serves as an antidote to reverse the effects of opioids
narcan
narcan leads to severe and immediate…
withdrawal symptoms:
irritability, tremors, fever, vomiting, seizures
pt teaching of narcan
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
what is Bisacodyl (Dulcolax, Muxol, Fleet) and how does it work
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
what is colace (docusate sodium) and how does it work
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
opioid analgesic for moderate to severe pain
Percocet (oxycodone and acetaminophen)
when should Percocet be discontinued
by third of fourth day postpartum
oral combination preparation containing a stool softener and a stimulant laxative to prevent or treat constipation
Peri-Colace
what is important to remember about Peri-Colace
take with a full glass of water
what is important to remember about postpartum birth control
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
what are the two progesterone only BC pills
Micronor (Norethindrone) and Depo-Provera
indication and contraindication of Micronor
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
side effects of Micronor
depression, headaches, thromboembolism, edema, HTN, thrombophlebitis
route of Micronor
PO
start on the first day of menses, taken daily and continuously
pt teaching of Micronor
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
indication and contraindication of Depo-Provera
indication: prevention of pregnancy
contraindication: hypersensitivity to parabens, missed abortion, thromboembolic disease, cerebrovascular disease, severe liver disease, breast/genital cancer, pregnancy
side effects of Depo-Provera
CNS depression, retinal thrombosis, PE, thromboembolism, thrmbophlebiits, drug induced hep, gingival bleeding, chloasma, melasma. anaphylaxiz, breast cancer, wt changes
route of Depo-Provera
IM in deltoid or gluteus maximus (SQ and PO also availabel)
pt teaching of Depo Provera
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
describe Rhogam
given to women with Rh negative blood to suppress abtibody formation against baby’s blood after birth
when is Rhogam given
28 wks gestation
describe rubella vaccine
given to women who have not had rubella or are serologically non immune to prevent contraction of rubella
when is rubella vaccine given
before or after becoming pregnant
*avoid becoming pregnant withing 28 days of getting vaccine
describe DTAP
given to women who are non immune to preent the contraction of diphtheria, tetanus, pertussis
when is DTAP given
between 27 and 36 wks gestation
what meds are immediately given to the infant after delivery
erythromycin opthalmic ointment, vitamin k, hepatitis B vaccine
why is erythromycin opthalmic ointment given to infants
given within the first two hours of birth to prevent neonatal conjunctivitis from coming in contact with gonorrhea when passing through the birth canal
what can ophthalmia neonatorum (gonorrhea) lead to if not treated
blindness of the baby
why is vitamin k given to the infant after delivery
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
why is Hep B given to infant after delivery
induce protective antihepatitis B antibiodies into the baby
immunize against infection caused by Hep B
