OB Medications Flashcards
Bisacodyl (Dulcolax)
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
Diphenhydramine (Benadryl)
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
Docusate sodium (Colace)
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
Depo provera (Medroxyprogesterone acetate)
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
Enoxaparin sodium (Lovenox)
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
Hydralazine Hydrochloride (Apresoline)
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
Hydrocodone Acetaminophen (Norco)
Moderate to moderately severe pain
A: monitor for allergic reaction; monitor for respiratory depression
SE: light-headedness, dizziness, NV, constipation, hearing impairment, dyspnea, pruritus
Ketorolac (Toradol)
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
Labetalol Hydrochloride (Normodyne)
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
Magnesium Sulfate
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
Methylergonovine Maleate (Methergine)
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
Morphine Sulfate (Duramorph)
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
Ondansetron (Zofran)
Prevent NV
A: monitor LFTs; monitor F/E balance, correct any imbalances
SE: constipation, diarrhea, dizziness, HA, fever, pruritus
Oxytocin (Pitocin)
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
RhoGam
Prevent Rh exposure
A: monitor for pulmonary adverse reactions; monitor for s/s allergy
SE: fever, HA, chills, dizziness, discomfort at injection site
Rubella vaccine
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
Simethicone (Mylicon)
Relief of bloating, pressure, fullness, and discomfort of GI gas
A: monitor for any hypersensitivity; repositioning to aid passing gas
SE: none reported
Tdap
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
Tranexamic Acid (TXA)
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
Betamethasone (Celestone)
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
Brethine (Terbutaline)
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
Carboprost Tromethamine (Hemabate)
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
Dinoprostone (Cervidil)
Ripen cervix
A: assess vaginal discharge regularly
SE: fever, NVD, vaginal pain, uterine hyper stimulation, FHR abnormality
Ephedrine
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
Indomethacin (Indocin)
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
Magnesium Sulfate IV
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
Misoprostol (Cytotec)
Ripens cervix
A: assess VS, FHR, report abnormal findings
SE: uterine hyper stimulation, fetal hypoxia, NVD, risk of uterine rupture
Nifedipine (Procardia)
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
Penicillin-G Potassium
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
Phytonadione (Vitamin K)
Use prevent bleeding in newborns
A: assess for allergic reaction
SE: flushing, tired, fast or abnormal heartbeat, diaphoresis
Erythromycin ophthalmic ointment
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
Hepatitis B Immunoglobulin (HBIG)
Hepatitis B exposure, prevention
Given within 12 hours of birth to NB
A: monitor for allergic reaction
SE: chills, fever, HA, NV, hypotension
Hepatitis B Vaccine
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
Naloxone Hydrochloride (Narcan)
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
