MOTHER BABY DRUGS Flashcards
MISOPROSTOL
Med Class
SYNTHETIC PROSTAGLANDIN
MISOPROSTOL
Therapeutic Uses
CERVICAL RIPENING AGENT (CERVIX SOFTENS SO DILATION AND EFFACEMENT CAN OCCUR MORE EASILY DURING CONTRACTIONS)
PREVENT GASTRIC ULCERS - FROM LONG TERM NSAID USE
MISOPROSTOL
DRUG NAMES (suffix or prefix)
MISOPROSTOL
MISOPROSTOL
Side Effects
NEED INFO
MISOPROSTOL
Nclex Tips / Memory Tricks
MISOPROSTOL CAN CAUSE MISCARRIAGE
MISOPROSTOL
Patient Education
ONLY TAKE WHILE IN LABOR
NOT SAFE TO TAKE DURING PREGNANCY
MISOPROSTOL
Nursing Admin
DO NOT ADMIN OXYTOCIN AND MISOPROSTOL TOGETHER
CAN BE GIVEN ORALLY / VAGINALLY / RECTALLY
RECTALLY ONLY FOR POST PARTUM HEMORRHAGE
CONTRAINDICATIONS
OXYTOCIN
C SECTIONS
ABNORMAL FETAL HR
UTERINE TACHYSTOLE (>5 CONTRACTIONS IN 10 MINUTES)
MISOPROSTOL
Relevant Lab Values
NORMAL FHR 120-160 BPM
OXYTOCIN
Med Class
OXYTOCIC HORMONE
OXYTOCIN
Therapeutic Uses
INDUCES LABOR
STIMULATES CONTRACTIONS
HELPS WITH DELIVERY OF PLACENTA
HELPS WITH POSTPARTUM BLEEDING
STIMULATES UTERIN CONTRACTIONS
OXYTOCIN
Drug Names( suffix or prefix)
OXYTOCIN
OXYTOCIN
Side Effects
UTERINE RUPTURE
PAINFUL CONTRACTIONS
OXYTOCIN
Nclex Tips / Memory Tricks
NEED INFO
OXYTOCIN
Patient Education
NEED INFO
OXYTOCIN
Nursing Admin
MONITOR CONTRACTIONS
DISCONTINUE IF CONTRACTIONS > 60 SECONDS
DISCONTINUE IF FREQUENCY MORE THAN 2-3 MINUTES APART
PIGGYBACK INTO MAIN IV FLUIDS
OXYTOCIN
Relevant Lab Values
NEED INFOR
TERBUTALINE
Med Class
TOCOLYTIC
BRONCHODILATOR
TERBUTALINE
Therapeutic Uses
DELAYS LABOR (SUPPRESSES CONTRACTIONS)
PREVENTS PRE-TERM LABOR
HALTS UTERINE CONTRACTIONS
TERBUTALINE
Drug Names( suffix or prefix)
TERBUTALINE
TERBUTALINE
Side Effects
TACHYCARDIA
TREMORS
ANGINA
RESTLESSNESS
TERBUTALINE
Nclex Tips / Memory Tricks
BOTH NIFEDIPINE AND TERBUTALINE END IN INE
TERBUTALINE
Patient Education
NEED INFO
TERBUTALINE
Nursing Admin
POSITION MOM ON LEFT SIDE (INCREASE PLACENTAL PERFUSION)
PROVIDE FLUIDS
OFFER COMFORT / SUPPORT
TERBUTALINE
Relevant Lab Values
MONITOR
VITAL SIGNS
FETAL STATUS
I & O’S
UTERINE CONTRACTIONS
NIFEDIPINE
Med Class
CALCIUM CHANNEL BLOCKER
TOCOLYTIC
NIFEDIPINE
Therapeutic Uses
HALTS UTERINE CONTRACTIONS
DELAYS LABOR / SUPRRESSING CONTRACTIONS
PREVENTS PRE TERM LABOR
Lowers blood pressure (calcium Channel blocker)
NIFEDIPINE
Drug Names( suffix or prefix)
NIFEDIPINE
NIFEDIPINE
Side Effects
NEED INFO
NIFEDIPINE
Nclex Tips / Memory Tricks
BOTH NIFEDIPINE AND TERBUTALINE END IN INE
NIFEDIPINE
Patient Education
POSITION MOM ON LEFT SIDE (INCREASE PLACENTAL PERFUSION)
PROVIDE FLUIDS
OFFER COMFORT / SUPPORT
can cause orthostatic hypotension
NIFEDIPINE
Nursing Admin
MONITOR
VITAL SIGNS
FETAL STATUS
I & O’S
UTERINE CONTRACTIONS
WATCH FOR ORTHOSTATIC HYPOTENSION (CALCIUM CHANNEL BLOCKER)
NIFEDIPINE
Relevant Lab Values
NEED INFO
MAGNESIUM SULFATE
Med Class
CNS DEPRESSANT
ANTISEIZURE
MAGNESIUM SULFATE
Therapeutic Uses
PREVENTS / CONTROLS SEIZURES IN MOTHERS W/ PREECLAMPSIA / ECLAMPSIA
PREVENTS PRE TERM LABOR
MAGNESIUM SULFATE
Drug Names( suffix or prefix)
MAGNESIUM SULFATE
ANTIDOTE IS CALCIUM GLUCONATE
MAGNESIUM SULFATE
Side Effects
MAGNESIUM TOXICITY (RISK FOR)
S/S - MAGNESIUM TOXICITY
DECREASED DTR
RESPIRATORY DEPRESSION
URINE OUTPUT < 30 ML/HR
IF THIS HAPPENS STOP INFUSION AND GIVE CALCIUM GLUCONATE
MAGNESIUM SULFATE
Nclex Tips / Memory Tricks
NEED INFO
MAGNESIUM SULFATE
Patient Education
NEED INFO
MAGNESIUM SULFATE
Nursing Admin
IV INFUSION ONLY AND WITH A PUMP
KEEP CALCIUM GLUCONATE READY IN CASE OF OVERDOSE
MONITOR DTR
ASSESS RENAL FUNCTION
MONITOR VITALS (ESPECIALLY RR)
MAGNESIUM SULFATE
Relevant Lab Values
MONITOR RENAL FUNCTION
MAGNESIUM SOLELY EXCRETED BY KIDNEYS - USE WITH CAUTION IN CLIENTS WITH KIDNEY IMPAIRMENT
ESTROGEN / PROGESTERONE
Med Class
CONTACEPTIVE
HORMONE REPLACEMENT THERAPY
ESTROGEN / PROGESTERONE
Therapeutic Uses
SUPPRESS OVULATION
CHANGES CERVICAL MUCUS
CONTROL IRREGULAR MENSTRUAL CYCLES
ESTROGEN / PROGESTERONE
Drug Names( suffix or prefix)
ESTROGEN / PROGESTERONE
ESTROGEN / PROGESTERONE
Side Effects
NAUSEA / VOMITING
BREAKTHROUGH BLEEDING
BREAST TENDERNESS
HYPERTENSION
ALTERED GLUCOSE LEVELS
ADR -
RISK FOR BLOOD CLOTS
DO NOT GIVE IF HX OF MI / DVT / PE / CVA OR CAD
ESTROGEN / PROGESTERONE
Nclex Tips / Memory Tricks
NEED INFO
ESTROGEN / PROGESTERONE
Patient Education
DO NOT SMOKE (VASOCONSTRICTIVE EFFECT)
REPORT
LEG PAIN / SWELLING / VISION LOSS
VAGINAL BLEEDING / MENSTRUAL IRREGULARITIES
ANTIBIOTICS CAN DECREASE EFFECTIVENESS OF OC’S
ESTROGEN / PROGESTERONE
Nursing Admin
MONITOR BLOOD GLUCOSE
MONITOR FOR BLOOD CLOTS
ESTROGEN / PROGESTERONE
Relevant Lab Values
NEED INFO
