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NURS 256 > Med Cards > Flashcards

Med Cards Flashcards

1
Q

(Norco) hydro condone/ acetaminophen

Class? Antidote

A

Opioid analgesia

Antidote: Narcan

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2
Q

(Norco) hydro condone/ acetaminophen

Action?

A

Binds to opiate receptors/ decreases pain

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3
Q

(Norco) hydro condone/ acetaminophen

Indication?

A

Manage pain

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4
Q

(Norco) hydro condone/ acetaminophen

Contra indication?

A

Resp. Depression/hepatic or renal diseases

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5
Q

(Norco) hydro condone/ acetaminophen

Dose/route?

A

PO (Adults) 2.5-10mg Q 3-6 hrs prn. Don’t exceed 4g/day & don’t exceed 5 tab/day of ibuprofen products.

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6
Q

(Norco) hydro condone/ acetaminophen

Side effects?

A

N/V, pruritis, resp. depression,dizziness,confusion,dry mouth, seating, clammy skin

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7
Q

(Norco) hydro condone/ acetaminophen

Nursing assessment/consideration?

A

Record baseline maternal vitals & fetal heart rate pattern (FHRP) before & after admin. Monitor for resp. depression

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8
Q

Bethamethasone (Celestone)

Class?

A

Corticosteroid/Hormone*

Antidote: NONE

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9
Q

Bethamethasone (Celestone)

Use?

A

In preterm labor to accelerate fetal lung maturity

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10
Q

Bethamethasone (Celestone)

Indications?

A

To accelerate fetal lung maturity to reduce incidence & severit of RDS (24-34 wks)

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11
Q

Bethamethasone (Celestone)

Contraindications?

A

Active infections (chrioamnionitis). No effects on breastfeeding

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12
Q

Bethamethasone (Celestone)

Maternal Considerations?

A

**Elevated Glucose **(need to Check BS more Freq.)

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13
Q

Bethamethasone (Celestone)

Dose/Route?

A

12 mg IM for 2 doses (24 hrs apart)

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14
Q

Bethamethasone (Celestone)

Side Effects?

A

infection, increased glucose, increased leukocytes, nervousness, insomnia, pulmonary edema

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15
Q

Bethamethasone (celestone)

Nursing Assess/ Considerations?

A

Assess vitals (T&P), lung sounds Monitor for pulmonary edema (teach signs)

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16
Q

Butorphanol (Stadol)

Action?

A

Binds to Opiate receptors- decreases pain r/t labor

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17
Q

Butorphanol (Stadol)

Class? Antidote?

A

**Opioid agonist antagonist **

Antidote: Narcan

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18
Q

Butorphanol (Stadol)

Indications?

A

Analgesia during labor

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19
Q

Butorphanol (Stadol)

Contraindications?

A

Patients physcially dependednt on opiods and havent been detoxified

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20
Q

Butorphanol (Stadol)

Dose/Route?

A

1-2 mg Q 3-4 hrs, range 0.5-2mg IV/ may be given PCA

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21
Q

Butorphanol (Stadol)

Side Effects?

A

Confusion, nausea, sweating, dysphonia, resp. depression, dry mouth, hallucination

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22
Q

Butorphanol (Stadol)

Nursing Assess/ Considerations?

A

Record baseline maternal vitals and FHRP and after admin. Monitor for resp. depression.

DONT GIVE TO OPIATE DEPENDENT PEOPLE CAN CAUSE WITHDRAWAL

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23
Q

Ibuprofen (Motrin)

Class?

A

NSAIDs, Antipyretic, Analgesic

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24
Q

Ibuprofen (Motrin)

Action?

A

Inhibits prostaglandin synthesis, decreases pain, fever inflammation

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25
Q

Ibuprofen(Motrin)

Indications?

A

pain, fever

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26
Q

Ibuprofen (Motrin)

Contraindications?

A

Bleeding, avoid after 30wk gestation (May cause premature closure of ductus arteriosis)

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27
Q

Ibuprofen (Motrin)

Dose/ Route?

A

Neonate: IV (gestational < or = 32 wks 500-1500g) 10mg/kg –> 2 doses of 5 mg/kg @ 24/48 hrs after initial dose

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28
Q

Ibuprofen (Motrin)

Side Effects?

A

GI bleed, constipation, N/V, headache

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29
Q

Ibuprofen (Motrin)

Nursing Assess/Considerations?

A

Monitor neonates for bleeding, infection and decrease in urine output. monitor IV site for extravasation

Post labor- incision pain. Women still clot so not too worried about bleeding. At risk for DVT.

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30
Q

Mylicon (Simethicone)

class?

A

Antiflatulent

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31
Q

Mylicon (Simethicone)

action?

A

Passage of gas through GI tract by belching or passing flatus.

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32
Q

Mylicon (Simethicone)

indications?

A

Relief of painful symptoms of excess gas in the GI tract. (Used after c/s)

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33
Q

Mylicon (Simethicone)

contraindications?

A

Not recommended for infant colic

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34
Q

Mylicon (Simethicone)

Dose/Route?

A

Adults PO 40-125mg QID after meals & @ bedtime (MAX 500mg/day)

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35
Q

Mylicon (Simethicone)

Side effects?

A

NONE

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36
Q

Mylicon (Simethicone)

Nursing assessment/ considerations?

A

Assess for abdominal pain, distention & bowel sounds. Assess for freq. of flatus & belching

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37
Q

Oxytocin (Pitocin)

Class?

A

Oxytocic

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38
Q

Oxytocin (Pitocin)

Action?

A

Stimulates uterine smooth muscle resulting in increased strength, duration and freq. of uterine contractions.

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39
Q

Oxytocin (Pitocin)

Indications?

A

Induction or augmentation of labor at or near term. Maintenance of firm U/C after birth to control bleeding. Management of inevitable or incomplete abortions.

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40
Q

Oxytocin (Pitocin)

Contraindications?

A

Placenta previa, vasa previa, nonreasurring FHRP

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41
Q

Oxytocin (Pitocin)

Dose/Route ?

A

IVPB, controlled w/pump. Various dilutions may be used.

Postpartum bleeding: dilute 10-40 Units in loo mL of IV sol. begin rate @ 20-40mU/min – increase or decrease rate acc. to uterine response. (May be given IM)

Inevitable or incomplete abortion: 10 unitsin 500 mL at a rate of 10-20 milliunits/min.

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42
Q

Oxytocin (Pitocin)

Side Effects?

A

Uterine rupture, decreased uterine blood flow, abrupto placentae

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43
Q

Oxytocin (Pitocin)

Nursing Assess/Consideration?

A

Assess FHR for 20 min before inducation. perform leoplus or vaginal exam to verify cehalic fetal presentation. Observe uterine activity, MOnitor uterus for firmness (postpartum) massage until firm if soft or “boggy” Observe for craping/bleeding, clots, passage of conception. Monitor vitals, I/O

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44
Q

Rho(D) Immune Globulin (Rhogam)

Class?

A

Concentrated **immunoglobulins **directed toward RBC antigen Rho (D)

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45
Q

Rho(D) Immune Globulin (Rhogam)

Action?

A

Prevents production of anti- Rho(D) antibodies in Rh(-) women who have been exposed to Rh (+) blood by supressing immune reaction. Prevents antibody repsonse & prevents hemolytic disease of newborn in future pregnancies of women who have concieved Rh (+) fetus.

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46
Q

Rho(D) Immune Globulin (Rhogam)

Indications?

A

Rh (-) women delivering an Rh (+) infant, aborting Rh (+) fetus, accidental transfer of Rh (+) blood to Rh (-) woman

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47
Q

Rho(D) Immune Globulin (Rhogam)

Contraindications?

A

Rh (+) woman or women previously sensetized.

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48
Q

Rho(D) Immune Globulin (Rhogam)

Dose/ Route?

A

**one standard IM dose @ 28Wks of preg. & w/in 72 hrs of delivery. **w/in 72 hrs following termination of a preg. of 13 wks or more of gestation.

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49
Q

Rho(D) Immune Globulin (Rhogam)

Side Effects?

A

local pain @ IM site, fever

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50
Q

Rho(D) Immune Globulin (Rhogam)

Nursing Assess/ Considerations?

A

Type & screen mothers blood & cord of newborn to determine need of med. Drug is gievn to mother- NOT INFANT. Use Delotid.

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51
Q

Rubella Vaccine

Class?

A

Attenuated live virus vaccine/ Immunizing Agent*​

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52
Q

Rubella Vaccine

Action?

A

produces a modified rubella (german measels) infection that is not communicable, causing formation of antibodies against rubella virus.

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53
Q

Rubella Vaccine

Indications?

A

Admin at least 1 month before preg. or after childbirth or abortion for women whose antibody screen shows no immunity to Rubella. Prevents Rubella & severe congenital defects in fetus & subsequent pregnancy

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54
Q

Rubella Vaccine

Contraindications?

A

Immunocompromised. The attenuated virus may appear in the breastmilk & some infants may develop a reash but not contraindicated in lactation.

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55
Q

Rubella Vaccine

Dose/Route?

A

0.5 mL Subcut

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56
Q

Rubella Vaccine

Side Effects?

A

Stinging@ site, fever, lymphadenoathy, trasient arthritis

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57
Q

Rubella Vaccine

Nursing Assess/ Considerations?

A

Vials should be refrigerated. Use immediately after reconstituting. Protect form light. Avoid pregnancy for 4 wks after vaccine

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58
Q

Terbutaline (Brethine)

Class? Antidote?

A

Beta adrenergic, tocolytics*

Antidote: propanolol (Inderal)

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59
Q

Terbutaline (Brethine)

Action?

A

Bronchodilation (decrease contractions)

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60
Q

Terbutaline (Brethine)

Indication?

A

**Manage preterm labor (tocolytic) **

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61
Q

Terbutaline (Brethine)

Contraindications?

A

Prolonged parenteral use longer than 48-72hrs or prolonged treatment with oral Terbutaline.

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62
Q

Terbutaline (Brethine)

Dose/Route?

A

PO (adults & child > 15 y/o) 2.5-5mg TID (Q 6 hrs- not to exceed 15 mg/24hr)

SC (adults and child ≥12) 250mcg (may repeat in 15-30 min (not to exceed 500mg/4hrs)

IV (adults) Tocolytics - 2.5- 10 mcg/min, increase by 5 mcg/min Q 10 min until contractions stop. After U/C have stopped for 30 min, Decrease infusion rate to lowest effective amt. & maintain for 4-8 hr. DONT GIVE TO DIABETIC

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63
Q

Terbutaline (Brethine)

Side Effects?

A

maternal & Fetal tachycardia, Maternal decease in BP, dysrhythmias, chest pain ,Pulmonary edema, headache, tremors, restlessness, flushing.

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64
Q

Terbutaline (Brethine)

Nursing Assess/Considerations?

A

Assess womans apical heart rate & lungs before admin. Monitor FHR. If maternal HR > 120 bpm- May indicate toxicity & may need to stop med. Teach to take pulse

65
Q

Vitamin K (phytonadione)

class?

A

Fat double vitamin & antihemorrhagic/ coag. & clotting factor

66
Q

Vitamin K (Phytonadione)

Action?

A

Promotes formation of factors II,VII, IX, X by the liver for clotting

67
Q

Vitamin K (Phytonadione)

Indications?

A

Prevention or treatment of Vit. K deficiency, bleeding (can’t synthesize)

68
Q

Vitamin K (Phytonadione)

Contraindications?

A

Hypersenstitivity

69
Q

Vitamin K (Phytonadione)

Dose/ Route?

A

Neonate: 0.5-1 mg given once **IM **w/in 1 hr of birth for prophylaxis. May be delayed until after 1st breastfeeding in delivery room. May be repeated or higher dosed used if mother took anticonvulsants during preg.

70
Q

Vitamin K (Phytonadione)

Side Effects?

A

Erythema, pain & edema @ inj. site, Hemolysis or hyperbiliruinemia.

71
Q

Vitamin K (Phytonadione)

Nursing Assessment/ Considerations?

A

Protect drug from light until admin because it loses potency. Observe all infants for Vit. K deficiency, ecchymosis or bleeding. Check to see if Vit K was given before circumcision.

72
Q

(Nubain) Nalbuphine

Class? Antidote?

A

Opioid agonist-antagonist

Antidote: Narcan

73
Q

(Nubain) Nalbuphine

Action?

A

Binds to opiate receptors- decreases pain r/t labor

74
Q

(Nubian) Nalbuphine

Indication?

A

labor pain

75
Q

(Nubain) Nalbuphine

Contraindication?

A

Patients physically dependant on opiates & who havent been detoxified because it may precipitate witdrawal.

76
Q

(Nubain) Nalbuphine

Dose/ Route?

A

10-20mg Q 3-6 hrs IV, may be given by PCA

77
Q

(Nubain) Nalbuphine

Side Effects?

A

N/V, pruritis, resp. depression, dizziness, confusion, dry mouth, clammy skin, sweating

78
Q

(Nubain) Nalbuphine

Nursing Assess/Considerations?

A

Record baseline maternal vitls & FHRP before & after admin. Monitor for Resp. depression

DONT GIVE TO OPIATE DEPENDENT

79
Q

Nifedipine (Adalt, Procardia)

Class?

A

CCB, antihypertensive, tocolytic

80
Q

Nifedipine (Adalt, Procardia)

Action?

A

Inibits Ca transport into myocardial & smooth muscle (uterus) cells resulting in inhibtion of contraction. systemic vasodil= decreased BP

81
Q

Nifedipine (Adalt, Procardia)

Indication?

A

manage hypertension, PTL

82
Q

Nifedipine (Adalt, Procardia)

Contraindication?

A

SBP < 90 mmHg, 2nd or 3rd degree AV block (unless pacemaker)

83
Q

**Nifedipine **(Adalt, Procardia)

Dose/Route?

A

PO Adults 10-30mg TID (not to exceed 180mg/day)

10-20mg BID as immediate release. 30-90mg/1 per day sustained release

84
Q

Nifedipine (Adalt, Procardia)

Side Effects?

A

Flushing, headache, increase in maternal and fetal Heart rate, orthostatic hypotension

85
Q

Nifedipine (Adalt, Procardia)

Nursing Assess/ Considerations?

A

Observe for side effects & report if maternal pulse> 120 BPM. Teach about poss. dizziness/ fainting w/hypotensive effects. sit/stand slowly or call for assist.

86
Q

(Narcan) Naloxone Hydrochloride

Class?

A

opioid antagonist

87
Q

(Narcan) Naloxone Hydrochloride

Action?

A

Reverses CNS & Resp. Depression causes by opiates competes for receptor sites. (may be given for puritis from epidural)

88
Q

(Narcan) Naloxone Hydrochloride

Indications?

A

Severe resp. depression in newborn when mother has recieved narcotics w/in 4 hrs of birth.

89
Q

(Narcan) Naloxone Hydrochloride

Contraindications?

A

**If given to an infant of a mother addicted to opiates it will cause withdrawl & may cause seizures. **

90
Q

(Narcan) Naloxone Hydrochloride

Dose/Route?

A

Neonates: 0.1mg/kg Given IV,IM,SQ, or endotrach

IV perferred route during neonatal resucitation

(Onset of action 1-2 min if IV)

91
Q

(Narcan) Naloxone Hydrochloride

Side Effects?

A

Vent. arrhythmias

92
Q

(Narcan) Naloxone Hydrochloride

Nursing Assess/ Considerations?

A

when depression of opiates is expected, prepare syringe before birth by drawing up more than needed. After birth, excess is removed from syringe & amt. given is acc. to wt. Monitor Vitals (RR)

93
Q

Magnesium Sulfate

Class? Antidote?

A

Misc. **anticonvulsant & tocolytic **

Antidote: Calcium Gluconate

94
Q

Magnesium Sulfate

Action?

A

decreased ach released by motor nerve impulses, thereby blocking neuromuscular transmission. **Depressess CNS. decreased frq. & intensity of uterine contractions. Inhibits preterm labor. **

95
Q

Magnesium Sulfate

Indications?

A

Prevents & controls seizures in severe **preclampsia. **Prevention of uterine contractions in preterm labor.

96
Q

Magnesium Sulfate

Contraindications ?

A

myocardial damage, heart bloc, myasthenia gravis, impaired renal function.

97
Q

Magnesium Sulfate

Dose/ Route?

A

Loading dose 4-6grams administered in 100mL IV fluid over 15-20 min.

Cont. infusion to maintain control is commonly 2g/hr. Deep IM is acceptable but painful.

98
Q

Magnesium Sulfate

Side Effects?

A

Mg overdose, flushing, sweating, hypotension, depressed deep tendon reflexes, CNS & resp. depression

99
Q

Magnesium Sulfate

Nursing Assess/Considerations?

A

Monitor BP, RR, Sat, Deep tendon reflexes, urinary output of > 30 mL/hr before admin. Keep O2& suction in room. Keep antidote nearby.

100
Q

Hep B Vaccine

Class?

A

Vaccine/ **Immunizing agent*/ Immunoglobulin **

101
Q

Hep B Vaccine

Action?

A

**Prevent hep B. **

102
Q

Hep B Vaccine

Indication?

A

any @ risk population

103
Q

Hep B Vaccine

Contraindications?

A

Hypersensitivity to yeast

104
Q

Hep B Vaccine

Dose/ Route?

A

Recommend for newborns (1st dose before discharge or @ infants 1st ped. visit). 2nd dose @ 2 mo 3rd dose- 6-18 mo. IM 0.5 mL

3 DOSES

105
Q

Hep B vaccine

Side Effects?

A

local soreness

106
Q

Hep B vaccine

Nursing Assess/Considerations?

A

Assess for adverse reactions. Give IM

107
Q

Carboprost Tromethamine (Hemabate)

Class?

A

Prostoglandin, Oxytocic*

108
Q

Carboprost Tromethamine (Hemabate)

Action?

A

Stimulates contaction of uterus

109
Q

Carboprost Tromethamine (Hemabate)

Indications?

A

**Used for treatment of postpartum hemorrhage caused by uterine atony. Also used ofr abortion. **

110
Q

Carboprost Tromethamine (Hemabate)

Contraindications?

A

acute pelvic inflammatory disease, cardiac, pulmonary, hepatic, renal disease, asthma

111
Q

Carboprost Tromethamine (Hemabate)

Dose/ Route?

A

Postpartum hemorrhage: 250 mcg Im, May repeat @ 15-90 min intervals. Max total dose 2 mg.

112
Q

Carboprost Tromethamine (Hemabate)

Side Effects?

A

Excessive dose may cause tetanic conraction & laceration or uterine rupture. N/V, diarrhea, fever, chills, flushing, headache, hyper or hypotension, tachycardia.

113
Q

Carboprost Tromethamine (Hemabate)

Nursing Assess/Considerations?

A

Refrigerate. Give IM & aspirate. Monitor vitals. admin. antiemetic & anti diarrheals as ordered.

114
Q

Hep B immune globulin (HBIG)

Class?

A

Vaccine/ Immunizing agent

115
Q

Hep B immune globulin (HBIG)

Action?

A

Prevents Hep B infection. Passive immunity

116
Q

Hep B immune globulin (HBIG)

Indications?

A

Prevents Hep B in patients who are known to be exposed, including newborns born to HBsAg (+) women.

117
Q

Hep B Immune globulin (HBIG)

Contraindications?

A

Hypersensitivity to IMg, glycine, thimerosal (Safe breastfeeding if vaccinated)

118
Q

Hep B Immune globulin (HBIG)

Dose/Route?

A

Neonates 0.5mL w/in 12hrs of birth

119
Q

Hep B immune globulin (HBIG)

Side Effects?

A

Pain or Redness @ inj. site

120
Q

Hep B immune globulin (HBIG)

Nursing Assess/Considerations?

A

To prevent contamination, newborn skin should be cleaned well before inj or heel sticks. Infant is tested 1-3 Mo after completing HBV schedule to identify infection.

121
Q

Fentanyl (Sublimaze)

Class? Antidote?

A

Opioid agonist

Antidote: Narcan

122
Q

Fentanyl (Sublimaze)

Action?

A

Decrease pain r/t labor.

Moderate to severe pain

123
Q

Fentanyl (Sublimaze)

Indications?

A

Adjunct to epidural analgesia during labor/pain

124
Q

Fentanyl (Sublimaze)

Contraindications?

A

Use caution in prenancy and lactation

125
Q

Fentanyl (Sublimaze)

Dose/Route?

A

20-50 mcg IV, may repeat Q hr. May be given PCA adjunct to epidural.

126
Q

Fentanyl (Sublimaze)

Side Effects?

A

N/V, puritis, **Respiratory depression **

127
Q

Fentanyl (Sublimaze)

Nursing Assess/ Considerations?

A

Record baseline maternal vitals & FHRP for comparison. Monitor for respiratory depression & Pain

128
Q

Erythomycin Opthalmic ointment (Ilocycin)

Class?

A

**Antibiotic **

129
Q

Erythomycin Opthalmic ointment (Ilocycin)

Action?

A

Inhibits protein synthesis in bacteria, bacteriostatic, bacteriocidal.

130
Q

Erythomycin Opthalmic ointment (Ilocycin)

Indication?

A

Prophylaxsis against organism (Gonorrhea). Prevents opthalmia neonatorum in infants of mothers w/gohnorrhea req. by law

131
Q

Erythomycin Opthalmic ointment (Ilocycin)

Contraindication?

A

None for baby

CI in those w/hypersensitivity

132
Q

Erythomycin Opthalmic ointment (Ilocycin)

Dose/Route?

A

“ribbon” of 0.5 % oint, 1 cm long, applied to lower conjunctival sac w/in one hour after birth.

133
Q

Erythomycin Opthalmic ointment (Ilocycin)

Side Effects?

A

Burning, itching, iritation, temporary blurred vision

134
Q

Erythomycin Opthalmic ointment (Ilocycin)

Nursing Assess/Considerations?

A

Cleanse infants eye PRN before admin. Hold tube in horizontal position to prevent injury if baby moves. Admin from inner–> outer canthus. Don’t touch eye w/tip of tube. Wipe away excess after 1 min. Observe for irritation.

135
Q

Misoprostol (cytotec)

Class?

A

Prostoglandins

136
Q

Misoprostol (cytotec)

Use?

A

Preinduction cervical ripening & labor induction/ terminate pregnancy

137
Q

Misoprostol (cytotec)

Indications?

A

Need of cervical rippening & induction

138
Q

Misoprostol (cytotec)

Contraindications?

A

asthma, glaucoma, ischemic heart disease, pulmonary, hepatic, renal failure- use caution

139
Q

Misoprostol (cytotec)

Breastfeeding?

A

May cause severe diarrhea in nursing infant

140
Q

Misoprostol (cytotec)

Dose/Route?

A

Terminate preg: PO 400mcg (single dose- 2 days after mifepristone if abortion has not occured) Intravaginally- 25mcg Q 3-6hr PRN

141
Q

Misoprostol (cytotec)

Side Effects?

A

Abdominal pain, diarrhea, miscarriage, tachysystole (repeated constant U/C)

142
Q

Misoprostol (cytotec)

Drug Interactions?

A

Increased risk of diarrhea w/ Mg containing antacids

143
Q

Misoprostol (cytotec)

Nursing Assess/Considerations?

A

FHR & uterine activity should be monitored before insertion for baseline & 30 min after for non reassuring FHRP or excessive contractions. Assess dilation of cervix

144
Q

Methylergonovine (Methergine)

Class?

A

Ergot alkaloid, Uterine stimulant

145
Q

Methylergonovine (Methergine)

Action?

A

Stimulates sustained contraction of uterus & causes arterial vasoconstriction.

146
Q

Methylergonovine (Methergine)

Indications?

A

Used for prevention & treatment of postpartum or post abortion hemorrhage caused by uterine atony or subinvolution

147
Q

Methylergonovine (Methergine)

Contraindications?

A

Don’t use in pregnancy or to induce labor. HTN, CAD, renal disease, hypocalcemia, sepsis or before 4th stage of labor

148
Q

Methylergonovine (Methergine)

Dose/Route?

A

0.2 mg IM Q 2-4 hrs (max of 5 doses) change to oral route 0.2mg Q 6-8 hrs for max of 7 days. IV use not recommended. Only life threatening situations-give over 60 sec w/close watch of BP & P

149
Q

Methylergonovine (Methergine)

Side Effects?

A

N/V, uterine cramping, HTN, dizziness, headaches, dyspnea, chest pain, palpitations

150
Q

Methylergonovine (methegrine)

Nursing assess/ considerations?

A

Assess BP before admin (follow facility protocol) caution mother avoid smoking & report adverse effects.

151
Q

Calcium Gluconate

Class?

A

Mineral & electrolyte replacement

152
Q

Calcium Gluconate

Use?

A

Essential for maintaing cell membrane and capillary permeability, essential for muscle contraction

153
Q

Calcium Gluconate

Indications?

A

**Treatment & prevent hypoglycemia. Emergency treatment of hyperkalemia& hypermagnasemia. **

154
Q

Calcium Gluconate

Contraindications?

A

Hypercalcemia, Renal Calculi, V. fib.

155
Q

Calcium Gluconate

Dose/ Rate?

A

Neonates PO 500-1500 mg/kg/day in 4-6 divided doses

IV neonates 200-800 mg/kg/day cont. infusion or 4 divided doses

For cardiac arrest or IV- infants & neonates: 100-200 mg/kg/dose over 5-10 min & repeat after 6 hr or Cont. inf. up to 500mg/kg/day

156
Q

Calcium Gluconate

Side effects?

A

Arrhythmias, constipation, phlebitis, cardiac arrest.

157
Q

Calcium Gluconate

Drug interactions?

A

Increase calcium, increased risk of digoxin tox.

158
Q

Calcium Gluconate

Nursing Assess/ Considerations?

A

Monitor vital, ECG, Assess IV, monitor for digitalis Tox, Give PO w/Water, admin, slowly.

NURS 256 (2 decks)

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