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NRN 12 Exam 5 > OB Medications > Flashcards

OB Medications Flashcards

1
Q

Bisacodyl (Dulcolax)

A

Laxative; used to relieve constipation

A: monitor F&E levels; assess for abdominal distention & bowel function; may cause abdominal pain, cramps; don’t use 1-hour after use of milk product

SE: dizziness, muscle weakness, NVD, electrolyte imbalance, hypokalemia

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2
Q

Diphenhydramine (Benadryl)

A

Allergy, anaphylaxis, motion sickness; nighttime sleep aid; non-productive cough

A: assess allergies, sleep patterns, cough, lung sounds; assess anticholinergic effects (dry mouth, blurred vision, constipation, sedation); take with food or milk to reduce GI distress; avoid hazardous activities

SE: dizziness, HA, hypotension, NVD, diplopia, drowsiness

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3
Q

Docusate sodium (Colace)

A

relief from constipation (stool softener)

A: use occasionally, no longer than 1 week; do not use OTC formulas >7 days or when and pain, NV are present

SE: diarrhea, throat irritation, mild abdominal cramping, laxative dependence with long-term use

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4
Q

Depo provera (Medroxyprogesterone acetate)

A

Abnormal uterine bleeding due to hormonal imbalance; secondary amenorrhea; endometrial hyperplasia; contraception; endometriosis-associate pain; inoperable, recurrent, metastatic endometrial, renal cancer

A: can cause significant loss of bone mineral density; monitor for pain, swelling, warmth, redness in calves; sudden, severe HA; visual disturbances; numbness in extremities; s/s of depression; s/s liver dysfunction

SE: anxiety, dizziness, HA, abdominal pain, back pain, nausea

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5
Q

Enoxaparin sodium (Lovenox)

A

Prevent PE, DVT after hip or knee replacement surgery; abdominal surgery

A: monitor pregnant women who have received epidural for change in LOC; draw blood for baseline coagulation parameters (PT, PTT); monitor for s/s bleeding or abnormal bruising

SE: confusion, fever, nausea, diarrhea, dyspnea, edema

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6
Q

Hydralazine Hydrochloride (Apresoline)

A

HTN; hypertensive emergency; HF with reduced EF

A: frequently monitor standing, sitting, supine BP, HR and body weight; rise slowly

SE: anxiety, HA, dizziness, tachycardia, orthostatic hypotension, NVD, constipation

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7
Q

Hydrocodone Acetaminophen (Norco)

A

Moderate to moderately severe pain

A: monitor for allergic reaction; monitor for respiratory depression

SE: light-headedness, dizziness, NV, constipation, hearing impairment, dyspnea, pruritus

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8
Q

Ketorolac (Toradol)

A

Short-term management of moderately severe, acute pain; short term management of moderately severe, acute pain when switching from parenteral to oral administration

A: correct hypovolemia before administration; monitor s/s hepatotoxicity; do not take with other NSAIDs

SE: HA, dizziness, drowsiness, NVD, flatulence, GI hemorrhage

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9
Q

Labetalol Hydrochloride (Normodyne)

A

HTN; severe HTN, hypertensive emergencies

A: monitor BP frequently; monitor glucose, can mask s/s hypoglycemia

SE: dizziness, fatigue, HA, syncope, NV, wheezing, orthostatic hypotension

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10
Q

Magnesium Sulfate

A

Stops irritability and contractions by relaxing Contractility of the uterine muscles; seizure prophylaxis with preeclampsia and eclampsia; tocolytic (off label); neuro protection for baby

A: Assess VS, DTRs, LOC, FHR; assess I&O; resp >16 before administration; seizure precautions;

SE: flushing, NV, dry mouth, tired, blurred vision, HA, hypotension

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11
Q

Methylergonovine Maleate (Methergine)

A

Oxytocin that prevents hemorrhage causes by uterine atony or subinvolution by increasing uterine activity; hemorrhage prophylaxis (PP)

A: given after delivery; monitor BP, HR, contractions

SE: severe HTN, stroke, seizures, chest pain, NVD, cramping, dyspnea, diaphoresis

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12
Q

Morphine Sulfate (Duramorph)

A

Moderate to severe pain

A: monitor for respiratory depression; monitor VS, pain; reassess pain 15-30 minutes after administration

SE: HA, bradycardia, respiratory depression, NV, abdominal pain, flatulence

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13
Q

Ondansetron (Zofran)

A

Prevent NV

A: monitor LFTs; monitor F/E balance, correct any imbalances

SE: constipation, diarrhea, dizziness, HA, fever, pruritus

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14
Q

Oxytocin (Pitocin)

A

Before, during & after labor (act on uterine myofibrils)

A: VS, uterine tone, FHR; amount of bleeding, clots; maintain I&O (watch for H20 intoxication)

SE: hypotension; uterine rupture, fetal hypoxia, abruptly placentae

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15
Q

RhoGam

A

Prevent Rh exposure

A: monitor for pulmonary adverse reactions; monitor for s/s allergy

SE: fever, HA, chills, dizziness, discomfort at injection site

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16
Q

Rubella vaccine

A

Component of MMR vaccine; protect against rubella

A: assess allergy to vaccine; assess low blood counts; assess if on immunocompromised

SE: sore arm from injection, fever, mild rash

17
Q

Simethicone (Mylicon)

A

Relief of bloating, pressure, fullness, and discomfort of GI gas

A: monitor for any hypersensitivity; repositioning to aid passing gas

SE: none reported

18
Q

Tdap

A

Prevent tetanus, diphtheria and pertussis

A: assess allergy to latex (component of some Tdap vaccines)

SE: redness, swelling, soreness at injection site; HA, tiredness, fever

19
Q

Tranexamic Acid (TXA)

A

Control or prevent excessive or heavy bleeding

A: monitor BP, HR, respirations; monitor LOC; monitor bleeding 15-30 min; monitor platelet count, clotting factors

SE: NVD, hypotension, visual impairment, HA, rash

20
Q

Betamethasone (Celestone)

A

Corticosteroid that stimulates surfactant production in the fetus to promote lung maturity for preterm fetus (<34 weeks)

A: assess lung sounds; assess for pulmonary edema; monitor s/s infection; wait to breastfeed until out of system

SE: burning, itching, pruritus, stinging, redness of skin

21
Q

Brethine (Terbutaline)

A

Used to open airways in lung diseases where spasm causes breathing problems

A: assess for fast, abnormal heartbeat; assess glucose levels

SE: s/s allergic reaction; s/s high blood pressure; s/s high blood sugar; s/s of low potassium levels; fast, abnormal heartbeat, seizures

22
Q

Carboprost Tromethamine (Hemabate)

A

Oxytocin prostaglandin that prevents hemorrhage cause by uterine atony or subinvolution by causing strong contractions

A: give with antiemetics, anti diarrheals to reduce GI effects; peaks at 15-60 mins, lasts for 24-hours

SE: HA, chest pain, flushing, NVD, diaphoresis, arrhythmias, chills, cramping

23
Q

Dinoprostone (Cervidil)

A

Ripen cervix

A: assess vaginal discharge regularly

SE: fever, NVD, vaginal pain, uterine hyper stimulation, FHR abnormality

24
Q

Ephedrine

A

Used for hypotension induced by anesthesia

A: carefully monitor BP; report chest pain, high HR, irregular HR, severe dizziness

SE: dizziness, restlessness, bradycardia, NV, tachycardia, arrhythmias

25
Q

Indomethacin (Indocin)

A

Used to close a hemodynamically significant patent ductus arteriosus in premature neonates

A: monitor for s/s heart attack, stroke; monitor for respiratory distress, rash; take with milk or food to reduce GI upset

SE: HA, dizziness, fatigue, tinnitus, NVD, constipation, abdominal pain

26
Q

Magnesium Sulfate IV

A

Used for seizure in preeclampsia or eclampsia

A: monitor I&O; monitor renal function; monitor magnesium level after repeated doses

SE: hypotension, diarrhea, Hypocalcemia, respiratory distress, pulmonary edema, diaphoresis

27
Q

Misoprostol (Cytotec)

A

Ripens cervix

A: assess VS, FHR, report abnormal findings

SE: uterine hyper stimulation, fetal hypoxia, NVD, risk of uterine rupture

28
Q

Nifedipine (Procardia)

A

CCB to hinder uterus activity to prevent preterm labor

A: assess FHR; caution with magnesium sulfate use (hypotension); assess BP hourly, report if HR >110

SE: flushing, HA, postural HTN, peripheral edema, reflex tachycardia, nausea

29
Q

Penicillin-G Potassium

A

Infection treatment

A: monitor for allergic reactions; assess renal function; monitor F/E balance; monitor liver function

SE: NVD, rash, pain at injection site, seizures, leukopenia, hyperkalemia

30
Q

Phytonadione (Vitamin K)

A

Use prevent bleeding in newborns

A: assess for allergic reaction

SE: flushing, tired, fast or abnormal heartbeat, diaphoresis

31
Q

Erythromycin ophthalmic ointment

A

Preventative measure against gonorrhea, chlamydia

A: clean eye before application; report diarrhea immediately; apply inner to outer

SE: redness, pruritus, erythema, peeling, minor ocular irritations

32
Q

Hepatitis B Immunoglobulin (HBIG)

A

Hepatitis B exposure, prevention
Given within 12 hours of birth to NB

A: monitor for allergic reaction

SE: chills, fever, HA, NV, hypotension

33
Q

Hepatitis B Vaccine

A

Prevent hepatitis B infection

A: Assess for allergic reaction; assess latex allergy

SE: pain, redness at injection site, HA, fatigue, diarrhea, s/s common cold

34
Q

Naloxone Hydrochloride (Narcan)

A

Used for post-operative opioid depression

A: monitor closely for respiratory depression; monitor resp rate increase within 1-2 mins; monitor resp rate & depth

SE: HA, tachycardia, v-fib, seizures, pulmonary edema, NV, edema, congestion

NRN 12 Exam 5 (7 decks)

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