Med Cards Flashcards

0
Q

Betamethasone (Celestone)

ACTION

A

Has potent anti-inflammatory actions & suppresses immune response

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1
Q

Betamethasone (Celestone)

CLASS

A

Corticosteroids

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3
Q

Betamethasone (Celestone)

USE

A

ACCELERATION OF FETAL LUNG MATURITY to reduce incidence & severity of RDS
Reduce incidence of IVH & neonatal death in the preterm infant

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4
Q

Betamethasone (Celestone)

DOSE

A

IM, GIVEN 24 HR BEFORE BIRTH OF PRETERM INFANT

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5
Q

Betamethasone (Celestone)

C/I

A

Active Infection

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6
Q

Betamethasone (Celestone)

SIDE EFFECTS

A

PULMONARY EDEMA
REBOUND HYPOGLYCEMIA
Temporary rise in WBC for 72 hrs

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7
Q

Betamethasone (Celestone)

CONSIDERATIONS

A
If mom has diabetes, therapy may increase infusion requirements & frequent monitoring
WBC >20 may indicate infection
Report CP, dyspnea
May cause nervousness, insomnia
Assess lung sounds & s/s of infection
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8
Q

Calcium Gluconate

CLASS

A

MINERAL & ELECTROLYTE REPLACEMENT

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9
Q

Calcium Gluconate

USE

A

HYPERMAGNESEMIA

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10
Q

Calcium Gluconate

DOSE

A

IV

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11
Q

Calcium Gluconate

C/I

A
Hypercalcemia
Renal/Cardiac disease
Renal calculi
V. fib
Digitalis therapy
Severe respiratory insufficiency
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12
Q

Calcium Gluconate

CONSIDERATIONS

A

Monitor BP, pulse, ECG
Monitor s/s of hypercalcemia (N/V, anorexia, thirst, severe constipation, bradycardia)
Pt should remain recumbent 30-60 min after administration
Solution should be warmed to body temp

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13
Q

Misoprostol (Cytotec)

CLASS

A

PROSTAGLANDIN

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14
Q

Misoprostol (Cytotec)

ACTION

A

INCREASE UTERINE CONTRACTION

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15
Q

Misoprostol (Cytotec)

USE

A
  1. PREINDUCTION CERVICAL RIPENING
  2. LABOR INDUCTION
  3. PP HEMORRHAGE
  4. ABORTION
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16
Q

Misoprostol (Cytotec)

DOSE

A

INTRAVAGINAL
PO
RECTAL

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17
Q

Misoprostol (Cytotec)

C/I

A
Asthma
Glaucoma
Ischemic heart disease
Pulmonary, hepatic, or renal disease
Previous C-section or other uterine surgery
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18
Q

Misoprostol (Cytotec)

SIDE EFFECTS

A
TACHYSYSTOLE
UTERINE RUPTURE
BLEEDING
HYPERGLYCEMIA (MOM)
HYPOGLYCEMIA (BABY)
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19
Q

Misoprostol (Cytotec)

CONSIDERATIONS

A

NEVER GIVE FOR AUGMENTATION
ASSESS FHR
For uterine tachysystole: place in side-lying position, apply O2 8-10L/min, administer tocolytic

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20
Q

Erythromycin (Ilotycin)

CLASS

A

ANTIBIOTIC

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21
Q

Erythromycin (Ilotycin)

ACTION

A

Inhibits protein synthesis in bacteria

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22
Q

Erythromycin (Ilotycin)

USE

A

PREVENT OPHTHALMIA NEONATORUM IN CASE MOTHER INFECTED WITH GONORRHEA
REQUIRED BY LAW

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23
Q

Erythromycin (Ilotycin)

DOSE

A

APPLY TO LOWER CONJUNCTIVAL SAC WITHIN 1 HOUR AFTER BIRTH

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24
Q

Erythromycin (Ilotycin)

SIDE EFFECTS

A

Temporarily blur vision
Burning
Itching

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25
Q

Erythromycin (Ilotycin)

CONSIDERATIONS

A

Cleanse eye before application
Administer from inner canthus to outer canthus
May wipe away excess after 1 minute

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26
Q

Fentanyl (Sublimaze)

CLASS

A

OPIOID ANALGESIC

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27
Q

Fentanyl (Sublimaze)

ACTION

A

Produce CNS depression & decrease pain

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28
Q

Fentanyl (Sublimaze)

USE

A

ADJUNCT TO EPIDURAL ANALGESIA DURING LABOR

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29
Q

Fentanyl (Sublimaze)

C/I

A

Caution with pregnancy & lactation

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30
Q

Fentanyl (Sublimaze)

SIDE EFFECTS

A

CAN PASS INTO THE BABY & CAUSE RESPIRATORY DEPRESSION
n/v
Dizziness

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31
Q

Fentanyl (Sublimaze)

CONSIDERATIONS

A

Monitor RR

ACCOMPANY MOM DUE TO FALL RISK

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32
Q

Fentanyl (Sublimaze)

ANTIDOTE

A

NARCAN

HAVE READY FOR FETAL INTERVENTION

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33
Q
Carboprost tromethamine (Hemabate)
CLASS
A

Prostaglandin, OXYTOCIC

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34
Q
Carboprost tromethamine (Hemabate)
ACTION
A

Stimulate contraction of uterus

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35
Q
Carboprost tromethamine (Hemabate)
USE
A
  1. TREATMENT OF PP HEMORRHAGE CAUSED BY UTERINE ATONY

2. ABORTION

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36
Q
Carboprost tromethamine (Hemabate)
C/I
A

ACUTE PELVIC INFLAMMATORY DISEASE
CARDIAC, PULMONARY, RENAL, OR HEPATIC DISEASE
Hx OF ASTHMA, hyper/hypotension, anemia, jaundice, diabetes, epilepsy, previous uterine surgery

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37
Q
Carboprost tromethamine (Hemabate)
SIDE EFFECTS
A

DIARRHEA
n/v, fever, chills, facial flushing, HA, tachycardia, hyper/hypotension, pulmonary edema, excessive dose may cause tetanic contraction & laceration or uterine rupture, uterine hypertonus

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38
Q
Carboprost tromethamine (Hemabate)
CONSIDERATIONS
A
NOT FIRST CHOICE DRUG
DO NOT ALLOW DRUG TO COME IN CONTACT WITH SKIN
ANTIEMETICS/ANTIDIARRHEALS AS ORDERED
Keep refrigerated
Aspirate to avoid IV
Rotate sites
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39
Q

Hep B Vaccine

CLASS

A

Vaccine

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40
Q

Hep B Vaccine

ACTION

A

Create antibodies

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41
Q

Hep B Vaccine

USE

A

Prevent chronic infection of newborn whose mother is HBsAg-positive

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42
Q

Hep B Vaccine

DOSE

A

GIVEN WITH 12 HOURS OF BIRTH

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43
Q

Nalbuphine (Nubain)

CLASS

A

OPIOID ANALGESIC/ANTAGONIST

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44
Q

Nalbuphine (Nubain)

ACTION

A

Binds to opiate receptors

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45
Q

Nalbuphine (Nubain)

USE

A

Decreases pain r/t labor

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46
Q

Nalbuphine (Nubain)

DOSE

A

IV

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47
Q

Nalbuphine (Nubain)

C/I

A

PATIENTS PHYSICALLY DEPENDENT ON OPIOIDS

& have not detoxed

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48
Q

Nalbuphine (Nubain)

SIDE EFFECTS

A
n/v
Respiratory depression
Dizziness
Confusion
Dry mouth
Clammy skin
Sweating
Pruritus
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49
Q

Nalbuphine (Nubain)

CONSIDERATIONS

A

DON’T GIVE TO OPIATE DEPENDENT PATIENTS
Record baseline maternal vitals & FHRP before, during, & after administration
Monitor for respiratory depression

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50
Q

Nalbuphine (Nubain)

ANTIDOTE

A

NARCAN

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51
Q

Nifedipine (Procardia, Adalat)

CLASS

A

CCB, TOCOLYTIC

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52
Q

Nifedipine (Procardia, Adalat)

ACTION

A

Decreases muscular contraction by acting as a calcium antagonist

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53
Q

Nifedipine (Procardia, Adalat)

USE

A

STOP PRETERM LABOR

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54
Q

Nifedipine (Procardia, Adalat)

DOSE

A

PO

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55
Q

Nifedipine (Procardia, Adalat)

SIDE EFFECTS

A
FLUSHING
HA
TACHYCARDIA
Dizziness
Transient maternal & fetal tachycardia
Orthostatic hypotension
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56
Q

Nifedipine (Procardia, Adalat)

CONSIDERATIONS

A

REPORT MATERNAL PULSE GREATER THAN 120

Teach pt side effects & to sit & stand slowly & call for assistance if needed

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57
Q

Naloxone (Narcan)

CLASS

A

Opiate antagonist

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58
Q

Naloxone (Narcan)

USE

A

REVERSE SEVERE RESPIRATORY DEPRESSION IN NEWBORN WHEN MOTHER RECEIVED NARCOTICS WITHIN 4 HRS OF BIRTH

59
Q

Naloxone (Narcan)

DOSE

A

IV
im
ett

60
Q

Naloxone (Narcan)

C/I

A

NEVER GIVE TO MOTHER OR BABY IF MOM ABUSES OPIATES

61
Q

Naloxone (Narcan)

CONSIDERATIONS

A

When depression from opiates is expected, prepare syringe before birth
Monitor response & prepare to give repeat dose if necessary

62
Q

Methylergonovine (Methergine)

CLASS

A

ERGOT ALKALOID

UTERINE STIMULANT

63
Q

Methylergonovine (Methergine)

ACTION

A

STIMULATES SUSTAINED CONTRACTION OF THE UTERUS & CAUSES ARTERIAL VASOCONSTRICTION

64
Q

Methylergonovine (Methergine)

USE

A

PREVENTION & TREATMENT OF POSTPARTUM OR POSTABORTION HEMORRHAGE CAUSED BY UTERINE ATONY OR SUBINVOLUTION

65
Q

Methylergonovine (Methergine)

DOSE

A

po, im

66
Q

Methylergonovine (Methergine)

C/I

A
DURING PREGNANCY (never use to induce labor)
HTN
severe hepatic or renal disease
thrombophlebitis
cad, pvd
hypocalcemia
sepsis
67
Q

Methylergonovine (Methergine)

SIDE EFFECTS

A
HTN
HA
FLUSHING
n/v
uterine cramping
dizziness
dyspnea
cp
palpitations
peripheral ischemia
seizures
68
Q

Methylergonovine (Methergine)

CONSIDERATIONS

A

DO NOT BREASTFEED DURING TREATMENT OR 12 HOURS AFTER LAST DOSE
Give over at least 1 min
Closely monitor bp & pulse
Caution mother to avoid smoking

69
Q

Oxytocin (Pitocin)

CLASS

A

Oxytocic

70
Q

Oxytocin (Pitocin)

ACTION

A

Stimulates uterine smooth muscle resulting in increased strength, duration, & frequency of contractions
Contains vasoactive & antidiuretic properties

71
Q

Oxytocin (Pitocin)

USE

A
  1. INDUCTION OR AUGMENTATION OF LABOR
  2. MAINTAIN FIRM UTERINE CONTRACTION AFTER BIRTH TO CONTROL PP BLEEDING
  3. MANAGE INCOMPLETE ABORTION
  4. HEMORRHAGE
72
Q

Oxytocin (Pitocin)

DOSE

A

IV, im

73
Q

Oxytocin (Pitocin)

C/I

A
Placenta previa
Vasa previa
Nonreassuring FHRP
Abnormal fetal presentation
Prolapsed umbilical cord
Uterine incision
Active herpes
74
Q

Oxytocin (Pitocin)

SIDE EFFECTS

A
HYPERTONIC UTERINE ACTIVITY (If given for a long time, uterine can get tired & atony can occur)
INCREASED BS
H2O TOXICITY
UTERINE RUPTURE
TETANIC CONTRACTIONS
Hemorrhage
Impaired uterine blood flow
fetal asphyxia
apruptio placentae
75
Q

Oxytocin (Pitocin)

INTERACTIONS

A

VASOPRESSORS

76
Q

Oxytocin (Pitocin)

CONSIDERATIONS

A

ASSESS FHR AT LEAST 20 MIN BEFORE INDUCTION

OBSERVE FOR HYPERTONIC UTERINE ACTIVITY

77
Q

Rho (D) Immune Globulin (RhoGAM)

CLASS

A

Concentrated immunoglobulin directed toward RBC antigen Rho(D)

78
Q

Rho (D) Immune Globulin (RhoGAM)

ACTION

A

Prevent production of Rh antibodies in Rh negative women who have been exposed to Rh positive blood by suppressing the immune reaction to the antigen in Rh positive blood

79
Q

Rho (D) Immune Globulin (RhoGAM)

USE

A
IF MOTHER & BABY BLOOD MIX
PROTECTING MOM'S NEXT PREGNANCY
Delivering Rh+ infant
Transfusion of Rh+ blood
Intra-abdominal trauma
80
Q

Rho (D) Immune Globulin (RhoGAM)

DOSE

A

IM

AT 28 WEEKS & WITHIN 72 HOURS OF DELIVERY

81
Q

Rho (D) Immune Globulin (RhoGAM)

C/I

A

PREVIOUSLY SENSITIZED TO Rho(D)

Rh+ WOMEN

82
Q

Rho (D) Immune Globulin (RhoGAM)

SIDE EFFECTS

A

Local pain at IM site

Fever

83
Q

Rho (D) Immune Globulin (RhoGAM)

CONSIDERATIONS

A

NEED COOMB’S TEST BEFORE ADMINISTRATION/ANTIBODY SCREEN

84
Q

Rubella Vaccine

CLASS

A

LIVE ATTENUATED VACCINE

85
Q

Rubella Vaccine

ACTION

A

Produces modified rubella infection that is not communicable, causing the formation of antibodies

86
Q

Rubella Vaccine

USE

A

Given to women whose antibody screen shows they are not immune to rubella
Prevents infection during subsequent pregnancy

87
Q

Rubella Vaccine

DOSE

A

SUBCUT TO THE MOTHER

1 MONTH BEFORE PREGNANCY

88
Q

Rubella Vaccine

C/I

A

PREGNANCY
Immunosuppressed
Current illness

89
Q

Rubella Vaccine

SIDE EFFECTS

A

BIRTH DEFECTS IF GIVEN DURING PREGNANCY

Lactating women may still get vaccinated

90
Q

Rubella Vaccine

CONSIDERATIONS

A

TEACH ABOUT AVOIDING PREGNANCY AT LEAST 4 WEEKS AFTER ADMINISTRATION
Use within 8 hours of reconstitution
Keep refrigerated

91
Q

Magnesium Sulfate

CLASS

A

MISC. ANTICONVULSANT

TOCOLYTIC

92
Q

Magnesium Sulfate

ACTION

A

Depresses CNS to act as anticonvulsant

Decreases frequency & intensity of UC

93
Q

Magnesium Sulfate

USE

A

PREVENT & CONTROL SEIZURES IN SEVERE PREECLAMPSIA

PREVENTION OF UC IN PRETERM LABOR

94
Q

Magnesium Sulfate

DOSE

A

IV TO CONTROL IMMEDIATELY

95
Q

Magnesium Sulfate

C/I

A

Myocardial damage
Heart block
Myasthenia graves
Impaired renal perfusion

96
Q

Magnesium Sulfate

SIDE EFFECTS

A
Flushing
Sweating
Hypotension
Decreased DTR
CNS & resp. depression
Fetal neonate effects: Decreased FHR variability, hypotonia
97
Q

Magnesium Sulfate

S/S Mg TOXICITY

A
THIRST
MENTAL CONFUSION
OLIGURIA
HA
FLUSHING
RESPIRATORY DEPRESSION
DECREASE IN REFLEXES
98
Q

Magnesium Sulfate

CONSIDERATIONS

A

PTL: BP during therapy, place resuscitation equipment in room
Tocolytic: Monitor contraction pattern, check for OD
Before therapy: RR at least 12/min, O2 95%, presence of DTR, Output 30mL/hr
During: LISTEN TO LUNGS FOR PULMONARY EDEMA
WHEN GIVING FOR SEIZURES, CHECK CLONUS
Continue to monitor above

99
Q

Magnesium Sulfate

ANTIDOTE

A

CALCIUM GLUCONATE

100
Q

Hep. B Immune Globulin (HBIG)

CLASS

A

Immunoglobulin

101
Q

Hep. B Immune Globulin (HBIG)

USE

A

To prevent chronic infection of a newborn whose mother is KNOWN TO BE HBsAg POSITIVE

102
Q

Hep. B Immune Globulin (HBIG)

DOSE

A

IM
WITHIN 12 HOURS OF BIRTH
VASTUS LATERALIS

103
Q

Hep. B Immune Globulin (HBIG)

C/I

A

If mother is not HBsAg positive

104
Q

Hep. B Immune Globulin (HBIG)

CONSIDERATIONS

A

Clean skin well to prevent contamination from mother’s blood
Breastfeeding is safe if newborn has been vaccinated
Teach preventable measures to reduce risk of HBV

105
Q

Butorphanol (Stadol)

CLASS

A

Opioid agonist/antagonist

106
Q

Butorphanol (Stadol)

ACTION

A

Binds to opiate receptors in CNS

PARTIAL ANTAGONIST PROPERTIES

107
Q

Butorphanol (Stadol)

USE

A

Labor pain

108
Q

Butorphanol (Stadol)

C/I

A

PATIENT PHYSCIALLY DEPENDENT ON OPIATES

109
Q

Butorphanol (Stadol)

SIDE EFFECTS

A
Respiratory depression
Hypotension
Palpitations
Nausea
Sweating
110
Q

Butorphanol (Stadol)

CONSIDERATIONS

A

MOVE SLOWLY DUE TO O.H.

TURN COUGH & DEEP BREATH

111
Q

Butorphanol (Stadol)

ANTIDOTE

A

NARCAN

112
Q

Terbutaline (Brethine)

CLASS

A

Beta adrenergic

113
Q

Terbutaline (Brethine)

ACTION

A

Block action in SNS resulting in decreased blood vessel contraction, smooth muscle relaxant

114
Q

Terbutaline (Brethine)

USE

A

TOCOLYSIS TO STOP PTL

115
Q

Terbutaline (Brethine)

DOSE

A

SUBCUT, PO

116
Q

Terbutaline (Brethine)

C/I

A

DIABETIC MOTHER

HYPERTENSION

117
Q

Terbutaline (Brethine)

SIDE EFFECTS

A
FEELS LIKE THEY'RE HAVING ANIETY ATTACK
HYPERGLYCEMIA
Chest pain
Tremors
Restlessness
Flushing
HA, N/V
Maternal & fetal tachy
Hypokalemia
118
Q

Terbutaline (Brethine)

CONSIDERATIONS

A

ASSESS MATERNAL APICAL HR & lung sounds before each dose

119
Q

Terbutaline (Brethine)

ANTIDOTE

A

PROPANOLOL

120
Q
Vitamin K (AquaMEPHYTON)
CLASS
A

Fat soluble vitamin, antihemorrhagic

121
Q
Vitamin K (AquaMEPHYTON)
ACTION
A

Promotes formation of CLOTTING FACTORS by the liver

122
Q
Vitamin K (AquaMEPHYTON)
USE
A

Provides Vit. K to prevent/treat Vit. K deficiency bleeding since babies are born with sterile bowels

123
Q
Vitamin K (AquaMEPHYTON)
DOSE
A

IM, vastus laterals WITHIN 1 HOUR AFTER BIRTH

124
Q
Vitamin K (AquaMEPHYTON)
SIDE EFFECTS
A
HYPERBILIRUBINEMIA
Erythema
Pain
Edema
Hemolysis
125
Q
Vitamin K (AquaMEPHYTON)
CONSIDERATIONS
A

OBSERVE FOR S/S OF VIT. K DEFICIENCY (ECCHYMOSIS, BLEEDING)

Protect from light

126
Q

Ibuprofen (Motrin, Advil)

CLASS

A

NSAID, antipyretic, nonopioid analgesic

127
Q

Ibuprofen (Motrin, Advil)

ACTION

A

Inhibits prostaglandin synthesis decreasing pain & inflammation

128
Q

Ibuprofen (Motrin, Advil)

USE

A

Fever
Mild-moderate pain
Closure of clinically significant PDA in neonates weighing 500-1500 g & <32 weeks GA
GIVEN PP FOR RISK OF DVT

129
Q

Ibuprofen (Motrin, Advil)

C/I

A

AVOID AFTER 30 WEEKS GA
CAN DECREASE FLUID AROUND THE BABY
Caution during lactation

130
Q

Ibuprofen (Motrin, Advil)

CONSIDERATIONS

A

Every PP is bound to be on motrin
Assess s/s of GI bleed
Teach mom to avoid alcohol
Can cause premature closure of ductus arteriosis

131
Q

Hydrocodone/Acetaminophen (Norco)

CLASS

A

OPIOID AGONIST/NONOPIOID ANALGESIC

132
Q

Hydrocodone/Acetaminophen (Norco)

ACTION

A

Binds to opiate receptors in CNS decreasing severity of moderate pain
Generalized CNS depression

133
Q

Hydrocodone/Acetaminophen (Norco)

USE

A

Management of moderate-severe pain

134
Q

Hydrocodone/Acetaminophen (Norco)

DOSE

A

PO

135
Q

Hydrocodone/Acetaminophen (Norco)

C/I

A

SEVERE HEPATIC/RENAL DISEASE

Avoid chronic use during lactation

136
Q

Hydrocodone/Acetaminophen (Norco)

SIDE EFFECTS

A
RESPIRATORY DEPRESSION
Confusion, sedation
Ortho hypotension
Consitpation
n/v
Urinary retention
137
Q

Hydrocodone/Acetaminophen (Norco)

INTERACTIONS

A

maoi

138
Q

Hydrocodone/Acetaminophen (Norco)

CONSIDERATIONS

A

Assess BP, pulse, & RESPIRATORY RATE before & throughout
Assess bowel function
Assess level of CNS depression
Caution patient about drowsiness during therapy

139
Q

Hydrocodone/Acetaminophen (Norco)

ANTIDOTE

A

Narcan

140
Q

Simethicone (Mylicon)

CLASS

A

Antiflatulent

141
Q

Simethicone (Mylicon)

USE

A

MAINLY FOR WOMEN WHO HAVE C-SECTION

142
Q

Simethicone (Mylicon)

C/I

A

Infant colic

Caution with abdominal pain of unknown cause

143
Q

Simethicone (Mylicon)

CONSIDERATIONS

A

Take after meals & bedtime
Shake liquid well
Assess bowel sounds, abdominal pain, & distention