OB Lab 2 Meds

Question 1

Pitocin

Answer 1

(synthetic oxytocin) uterotonic agent
use: increase strength and frequency of ctx (induct, augment, & postpartum)
MA: binds to oxy receptors = increases calcium = inducing ctx
SE: hypertonic uterus, atony, uterine rupture, placental abruption
NSG: assess EFM, palpate ctx

Question 2

Penecillin

Answer 2

use: GBS+ – goal of 2 doses before delivery, q4h IVPB
only for vaginal delivery
SE: NVD, itching, rash
NSG: monitor reaction

Question 3

Depo-provera

Answer 3

postpartum contraceptive; birth ctrl; IM q3mos
MA: block follicular maturation/ovulation
SE: wt. gain, acne, HA, clots, bone density loss
NSG: HCG

Question 4

Butophanol (Stadol)

Answer 4

(Stadol) opioid
SE: decrease RR, sedation, decrease LOC
NSG: stay in bed for 1hr; pee before admin; cant give if >7cm dilation
give SLOW IVP

Question 5

Terbutaline

Answer 5

(Beta2 Agonist {think albuterol se}; admin SQ)
use: decrease ctx
MA: smooth muscle relax
SE: bronchospasm, HA, palpitations, tachycardia, dizziness, nausea, HTN
NSG: lung sounds, VS, HR, BP, O2, FHT

Question 6

Labetalol

Answer 6

(selective alpha, nonselective beta blocker); PO, IV
use: HTN, preeclampsia
SE: bradycardia, syncope, dizzy, NV, HA
NSG: VS

Question 7

Magnesium Sulfate

Answer 7

(Both tocolytic and neural protection); admin IV bolus & maint.
use: preeclampsia/eclampsia, preterm labor
MA: smooth muscle relaxer
SE: decrease RR, decrease LOC, hyporeflexia, risk of mag. toxicity
NSG: blood draw (peak/trough 4-7), kidney func., q1h reflex check

Question 8

Betamethasone

Answer 8

Goal 2x doses 24hr apart
use: preterm labor, if delivery is expected within 24-48hrs –> matures babies lungs
MA: increase fetal vasculature
SE: increase BS in mom, but could decrease baby BS after delivery
NSG: monitor BS on baby after delivery

Question 9

Misoprostal

Answer 9

(Cytotec)
use: cervical ripening, postpartum hemorrhage, & termination pregnancy
MA: produces uterine ctx
SE: hyperstimulation of uterus, uterine rupture, common (fever/shivers)
NSG: palpation ctx pattern, VS, FHR, bleeding
ripen dose: 25mcg
termination: 800mcg

Question 10

Carboprost

Answer 10

(Hemibait)
use: postpartum hemorrhage
SE: bad diarrhea
CONTRA: asthma (casues bronchospasm)
NSG: VS, bleeding, lung sounds

Question 11

Methergen

Answer 11

[IM]
use: postpartum hemorrhage
MA: increases uterine ctx force & freq.
CONTRA: HTN (mom)
SE: arrhythmia, clots, stroke, seizure
NSG: monitor VS, bleeding

Question 12

Nifedipine

Answer 12

(Procardia) calcium channel blocker
[PO]
use: preterm labor, HTN, tocolysis
MA: inhibits calcium influx in myocardium
SE: edema, CHF, HA, nausea, flush, palpitations
NSG: monitor VS, BP