Pharm Quiz 1 Flashcards
Ibuprofen
Non-steroidal anti-inflammatory drug, given PO, for uterine cramps after delivery.
Lanolin
Cream that breast feeding women use to prevent cracked and irritated nipples.
Dermoplast spray
Provides fast relief of pain and itching especially for an episiotomy, composed of Benzocaine and Menthol.
Tylenol #3
Used for post-delivery pain control; composed of Codiene and Tylenol.
Calcium Gluconate
Anecdote for magnesium toxicity.
Zofran (Ondansetron)
Anti-emetic used for nausea in labor and in hyperemesis gravidarum.
MMR
Vaccination given at 1 month of age for measles, mumps, rubella
Percocet
Comprised of Oxycodone and Acetaminophen; used for post-delivery pain control.
Tdap
Vaccination given to those who already completed DTaP series; used as booster
Toradol (Ketorolac)
Non-steroidal anti-inflammatory drug, given IM or IV, used for pain control for uterine and post-op discomfort after c-section; inhibits prostaglandins
Methergine (Methylergonovine)
Treatment of postpartum hemorrhage to stimulate uterine contractions; given IM; cannot give with high BP due to vasoconstriction.
Colace (Docusate Sodium)
Stool softener used after delivery.
Venofer (Iron Sucrose)
Treatment/ prevention of iron deficiency anemia.
Terbutaline (Brethine)
Tocolytic used to stop contractions in preterm labor or before external version; given SQ and causes increased HR in mom and makes her feel very jittery.
Morphine
Used for pain relief in labor; given IV or SQ; crosses placenta readily and can cause respiratory depression in the neonate.
Stadol (Butorphanol)
Used for pain relief in labor; given IV; does not cause as much respiratory depression as morphine; cautious use in drug addicted women as it causes withdrawal symptoms.
Magnesium sulfate
Prevent and treatment of eclamptic seizures; also used to stop preterm labor.
Rh(D) immunogloblin (Rhogam)
Suppresses immune response of non-sensitized Rh-negative clients who are exposed to Rh-positive blood to prevent isoimmunization.
Oxytocin (Pitocin)
Acts on uterine muscle to stimulate labor contractions; can induce water intoxication; might cause hyper-stimulation of the uterus.
Cytotec (Misoprostol)
Given to induce labor for fetal demise or to control postpartum hemorrhage.
Cervidil (Dinoprostone)
Directly softens and dilates the cervix to induce labor (ripening agent)
Betamethasone (Celestone)
Promotes fetal lung maturity by stimulating surfactant production reducing risk of respiratory distress syndrome and intraventricular hemorrhage in the preterm neonate.
Hepatitis B Vaccine
Vaccination to newborns to prevent a serious liver disease. Usually given in a series of 3-4 shots over 6-12 month period. Do not aspirate when giving.
Erythromycin ophthalmic ointment (Ilotycin)
Provides bactericidal and bacteriostatic actions to prevent ophthalmia neonatorum, which is conjunctivitis from N. gonorrhea or chlamydia trachomatis.
Vitamin K (phytonadione)
Provides the newborn with vitamin K (nec for production of clotting favors II, VII, IX, & X by the liver) during g the 1st week of birth until the newborn can manufacture it.
Non-steroidal anti-inflammatory drug, given PO, for uterine cramps after delivery.
Ibuprofen
Cream that breast feeding women use to prevent cracked and irritated nipples.
Lanolin
Provides fast relief of pain and itching especially for an episiotomy, composed of Benzocaine and Menthol.
Dermoplast spray
Used for post-delivery pain control; composed of Codiene and Tylenol.
Tylenol #3
Anecdote for magnesium toxicity.
Calcium Gluconate
Anti-emetic used for nausea in labor and in hyperemesis gravidarum.
Zofran (Ondansetron)
Vaccination given at 1 month of age for measles, mumps, rubella
MMR
Comprised of Oxycodone and Acetaminophen; used for post-delivery pain control.
Percocet
Vaccination given to those who already completed DTaP series; used as booster
Tdap
Non-steroidal anti-inflammatory drug, given IM or IV, used for pain control for uterine and post-op discomfort after c-section; inhibits prostaglandins
Toradol (Ketorolac)
Treatment of postpartum hemorrhage to stimulate uterine contractions; given IM; cannot give with high BP due to vasoconstriction.
Methergine (Methylergonovine)
Stool softener used after delivery.
Colace (Docusate Sodium)
Treatment/ prevention of iron deficiency anemia.
Venofer (Iron Sucrose)
Tocolytic used to stop contractions in preterm labor or before external version; given SQ and causes increased HR in mom and makes her feel very jittery.
Terbutaline (Brethine)
Used for pain relief in labor; given IV or SQ; crosses placenta readily and can cause respiratory depression in the neonate.
Morphine
Used for pain relief in labor; given IV; does not cause as much respiratory depression as morphine; cautious use in drug addicted women as it causes withdrawal symptoms.
Stadol (Butorphanol)
Prevent and treatment of eclamptic seizures; also used to stop preterm labor.
Magnesium sulfate
Suppresses immune response of non-sensitized Rh-negative clients who are exposed to Rh-positive blood to prevent isoimmunization.
Rh(D) immunogloblin (Rhogam)
Acts on uterine muscle to stimulate labor contractions; can induce water intoxication; might cause hyper-stimulation of the uterus.
Oxytocin (Pitocin)
Given to induce labor for fetal demise or to control postpartum hemorrhage.
Cytotec (Misoprostol)
Directly softens and dilates the cervix to induce labor (ripening agent)
Cervidil (Dinoprostone)
Promotes fetal lung maturity by stimulating surfactant production reducing risk of respiratory distress syndrome and intraventricular hemorrhage in the preterm neonate.
Betamethasone (Celestone)
Vaccination to newborns to prevent a serious liver disease. Usually given in a series of 3-4 shots over 6-12 month period. Do not aspirate when giving.
Hepatitis B Vaccine
Provides bactericidal and bacteriostatic actions to prevent ophthalmia neonatorum, which is conjunctivitis from N. gonorrhea or chlamydia trachomatis.
Erythromycin ophthalmic ointment (Ilotycin)
Provides the newborn with vitamin K (nec for production of clotting favors II, VII, IX, & X by the liver) during g the 1st week of birth until the newborn can manufacture it.
Vitamin K (phytonadione)
nalbuphine
Nubain
Nalbuphine (Nubain)
opioid analgesic for regional pain management
regional pain managment for birth
- pudendal blocks
- epidurals
- spinals (subarchnoid blocks)
- combined spinal-epidurals
- continuous spinals
Advantages of:
* pudendal blocks
* epidurals
* spinals (subarchnoid blocks)
* combined spinal-epidurals
* continuous spinals
- safest forms of analgesia for client and fetus
- provides pain relief without loss of consciousness
Disadvantages of:
* pudendal blocks
* epidurals
* spinals (subarchnoid blocks)
* combined spinal-epidurals
* continuous spinals
- depend on specific techniques and on how the mother responds
- anesthetizes the lower vagina and part of the perineum
- provides anesthesia for an episiotomy and vaginal birth
- does not block pain from uterine contractions
- mother feels pressure
pudendal block
- injecting a local anesthetic agent, often combined with an opioid, into epidural space
- provides substantial relief of pain from contractions and birth canal distention
- can be extended upward
- analgesia, rather than full anesthesia
- adequate pain relief without complete motor block
epidural block
adverse effects of a epidural block
- maternal hypotention
- bladder distention
- prolonged second stage
- maternal fever
- shivering
- catheter migration
adverse effects of intrathecal opioids
- n/v
- pruritis
- delayed maternal respiratory depression may occur
containdications and precautions for Spinal or Subarachnoid block (SAB)
- like epidural blocks
- increased intracranial pressure secondary to a mass lesion
- client refusal or inability to cooperate during placement
- uncorrected coagulation conditions
- uncorrected hypovolemia
- infection
- fetal condition requiring immediate birth
adverse effects of general anesthesia
- failed intubation
- aaspiration
- adverse reaction to med
- malignant hyperthermia
- respiratory depression
- increased risk of bleeding if also on mag sulfate
- uterine relaxation
