L & D Medications Flashcards
Brand name for ampicillin
Ampicin
What is ampicillin used for?
GBS prophylaxis
Class of ampicillin
Broad spectrum antibiotic
Side effects of ampicillin
Pain at infusion site
Allergic response
Rash
N/v/d
HA
Nursing responsibilities for ampicillin
Assess for previous sensitivity reactions to penicillin’s or other cephalosporins
Assess for S/S of infection
VS
WBC
Obtain hx for GBS status
Assess bowel pattern daily
If severe diarrhea occurs, product should be DC
Patient teaching for ampicillin
Teach why med is being given
Report any adverse symptoms or SE
Brand name of Penicillin G
Pfizerpen
Classification of Penicillin G
Broad spectrum antibiotic
Use of penicillin G
Prevention and treatment of GBS
Side effects of penicillin G
Pain at infusion site
Allergic reaction
Rash
N/v/d
HA
Brand name for oxytocin
Pitocin
*Routes of pitocin
For induction/augmentation: IV titration
For PPH: IV bolus or IM injection
*Use of pitocin
Control PP bleeding
Induction/stimulation of labor
(Stimulates uterine smooth muscle, has vasoactive and anti diuretic properties)
*Side effects of pitocin
*Water intoxication
Tachysystole
Impaired uterine blood flow
Fetal asphyxia
Uterine rupture
Fetal:
Bradycardia
Tachycardia
Reduced variability
Late or prolonged decels
Nursing responsibilities for pitocin
Assess character, frequency, duration, intensity of contractions every 15 min
Stop infusion if: CTX <2 min apart and are >50-65 mmHg, last 60-90 seconds or longer
Assess FHR prior to induction and every 15 min during induction
Assess VS every 15 min
Monitor for water intoxication: drowsiness, listlessness, confusion, HA, anuria)
Monitor I&O
DC or decrease drip for fetal distress or prolonged contractions
Patient teaching for pitocin
Advise pt to expect contractions similar to menstrual cramps that gradually increase in intensity and become strong
Report increased abdominal pain, blood loss, or fever
PP - report boggy uterus or increase in lochia flow
Teach pt to massage their fundus
Brand name for Methylergonovine
Methergine
*Use of methergine
Treat/prevent PPH (or post abortion hemorrhage) cause by uterine atony or subinvolution
(Stimulates sustained CTX of uterus and causes arterial vasoconstriction)
Classification of methergine
Oxytocic
Uterine stimulant
*Routes for methergine
*IM - preferred route for rapid absorption
PO
Intrauterine
(IV use not recommended unless life threatening situation)
*Side effects of methergine
*HTN
N/V
Uterine cramping
Dyspnea
Dysrhythmias
Nursing responsibilities for methergine
Caution in pts with HTN and cardiac disease
Caution to avoid smoking: nicotine causes vasoconstriction
Monitor BP/VS
*Check BP prior to each dose
Monitor vaginal bleeding, uterine tone, height of fundus
*Patient teaching for methergine
*Avoid smoking because nicotine constricts vessels
Abdominal cramps are a SE
Notify prescriber if you have chest pain, N/V, HA, muscle pain, weakness, cold/numb extremities
Teach to massage fundus
Brand name for dinoprostone
Cervidil, prepidil