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NUR 221 > MOTHER BABY DRUGS > Flashcards

MOTHER BABY DRUGS Flashcards

1
Q

MISOPROSTOL

Med Class

A

SYNTHETIC PROSTAGLANDIN

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2
Q

MISOPROSTOL

Therapeutic Uses

A

CERVICAL RIPENING AGENT (CERVIX SOFTENS SO DILATION AND EFFACEMENT CAN OCCUR MORE EASILY DURING CONTRACTIONS)

PREVENT GASTRIC ULCERS - FROM LONG TERM NSAID USE

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3
Q

MISOPROSTOL

DRUG NAMES (suffix or prefix)

A

MISOPROSTOL

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4
Q

MISOPROSTOL

Side Effects

A

NEED INFO

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5
Q

MISOPROSTOL

Nclex Tips / Memory Tricks

A

MISOPROSTOL CAN CAUSE MISCARRIAGE

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6
Q

MISOPROSTOL

Patient Education

A

ONLY TAKE WHILE IN LABOR
NOT SAFE TO TAKE DURING PREGNANCY

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7
Q

MISOPROSTOL

Nursing Admin

A

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)

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8
Q

MISOPROSTOL

Relevant Lab Values

A

NORMAL FHR 120-160 BPM

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9
Q

OXYTOCIN

Med Class

A

OXYTOCIC HORMONE

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10
Q

OXYTOCIN

Therapeutic Uses

A

INDUCES LABOR
STIMULATES CONTRACTIONS
HELPS WITH DELIVERY OF PLACENTA
HELPS WITH POSTPARTUM BLEEDING

STIMULATES UTERIN CONTRACTIONS

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11
Q

OXYTOCIN

Drug Names( suffix or prefix)

A

OXYTOCIN

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12
Q

OXYTOCIN

Side Effects

A

UTERINE RUPTURE
PAINFUL CONTRACTIONS

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13
Q

OXYTOCIN

Nclex Tips / Memory Tricks

A

NEED INFO

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14
Q

OXYTOCIN

Patient Education

A

NEED INFO

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15
Q

OXYTOCIN

Nursing Admin

A

MONITOR CONTRACTIONS

DISCONTINUE IF CONTRACTIONS > 60 SECONDS

DISCONTINUE IF FREQUENCY MORE THAN 2-3 MINUTES APART

PIGGYBACK INTO MAIN IV FLUIDS

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16
Q

OXYTOCIN

Relevant Lab Values

A

NEED INFOR

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17
Q

TERBUTALINE

Med Class

A

TOCOLYTIC
BRONCHODILATOR

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18
Q

TERBUTALINE

Therapeutic Uses

A

DELAYS LABOR (SUPPRESSES CONTRACTIONS)
PREVENTS PRE-TERM LABOR

HALTS UTERINE CONTRACTIONS

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19
Q

TERBUTALINE

Drug Names( suffix or prefix)

A

TERBUTALINE

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20
Q

TERBUTALINE

Side Effects

A

TACHYCARDIA
TREMORS
ANGINA
RESTLESSNESS

21
Q

TERBUTALINE

Nclex Tips / Memory Tricks

A

BOTH NIFEDIPINE AND TERBUTALINE END IN INE

22
Q

TERBUTALINE

Patient Education

A

NEED INFO

23
Q

TERBUTALINE

Nursing Admin

A

POSITION MOM ON LEFT SIDE (INCREASE PLACENTAL PERFUSION)

PROVIDE FLUIDS

OFFER COMFORT / SUPPORT

24
Q

TERBUTALINE

Relevant Lab Values

A

MONITOR
VITAL SIGNS
FETAL STATUS
I & O’S
UTERINE CONTRACTIONS

25
Q

NIFEDIPINE

Med Class

A

CALCIUM CHANNEL BLOCKER

TOCOLYTIC

26
Q

NIFEDIPINE

Therapeutic Uses

A

HALTS UTERINE CONTRACTIONS

DELAYS LABOR / SUPRRESSING CONTRACTIONS
PREVENTS PRE TERM LABOR

Lowers blood pressure (calcium Channel blocker)

27
Q

NIFEDIPINE

Drug Names( suffix or prefix)

A

NIFEDIPINE

28
Q

NIFEDIPINE

Side Effects

A

NEED INFO

29
Q

NIFEDIPINE

Nclex Tips / Memory Tricks

A

BOTH NIFEDIPINE AND TERBUTALINE END IN INE

30
Q

NIFEDIPINE

Patient Education

A

POSITION MOM ON LEFT SIDE (INCREASE PLACENTAL PERFUSION)

PROVIDE FLUIDS

OFFER COMFORT / SUPPORT

can cause orthostatic hypotension

31
Q

NIFEDIPINE

Nursing Admin

A

MONITOR
VITAL SIGNS
FETAL STATUS
I & O’S
UTERINE CONTRACTIONS

WATCH FOR ORTHOSTATIC HYPOTENSION (CALCIUM CHANNEL BLOCKER)

32
Q

NIFEDIPINE

Relevant Lab Values

A

NEED INFO

33
Q

MAGNESIUM SULFATE

Med Class

A

CNS DEPRESSANT
ANTISEIZURE

34
Q

MAGNESIUM SULFATE

Therapeutic Uses

A

PREVENTS / CONTROLS SEIZURES IN MOTHERS W/ PREECLAMPSIA / ECLAMPSIA

PREVENTS PRE TERM LABOR

35
Q

MAGNESIUM SULFATE

Drug Names( suffix or prefix)

A

MAGNESIUM SULFATE

ANTIDOTE IS CALCIUM GLUCONATE

36
Q

MAGNESIUM SULFATE

Side Effects

A

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

37
Q

MAGNESIUM SULFATE

Nclex Tips / Memory Tricks

A

NEED INFO

38
Q

MAGNESIUM SULFATE

Patient Education

A

NEED INFO

39
Q

MAGNESIUM SULFATE

Nursing Admin

A

IV INFUSION ONLY AND WITH A PUMP
KEEP CALCIUM GLUCONATE READY IN CASE OF OVERDOSE
MONITOR DTR
ASSESS RENAL FUNCTION
MONITOR VITALS (ESPECIALLY RR)

40
Q

MAGNESIUM SULFATE

Relevant Lab Values

A

MONITOR RENAL FUNCTION
MAGNESIUM SOLELY EXCRETED BY KIDNEYS - USE WITH CAUTION IN CLIENTS WITH KIDNEY IMPAIRMENT

41
Q

ESTROGEN / PROGESTERONE

Med Class

A

CONTACEPTIVE

HORMONE REPLACEMENT THERAPY

42
Q

ESTROGEN / PROGESTERONE

Therapeutic Uses

A

SUPPRESS OVULATION

CHANGES CERVICAL MUCUS

CONTROL IRREGULAR MENSTRUAL CYCLES

43
Q

ESTROGEN / PROGESTERONE

Drug Names( suffix or prefix)

A

ESTROGEN / PROGESTERONE

44
Q

ESTROGEN / PROGESTERONE

Side Effects

A

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

45
Q

ESTROGEN / PROGESTERONE

Nclex Tips / Memory Tricks

A

NEED INFO

46
Q

ESTROGEN / PROGESTERONE

Patient Education

A

DO NOT SMOKE (VASOCONSTRICTIVE EFFECT)

REPORT
LEG PAIN / SWELLING / VISION LOSS
VAGINAL BLEEDING / MENSTRUAL IRREGULARITIES

ANTIBIOTICS CAN DECREASE EFFECTIVENESS OF OC’S

47
Q

ESTROGEN / PROGESTERONE

Nursing Admin

A

MONITOR BLOOD GLUCOSE

MONITOR FOR BLOOD CLOTS

48
Q

ESTROGEN / PROGESTERONE

Relevant Lab Values

A

NEED INFO

NUR 221 (16 decks)

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