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OB > PP Medications > Flashcards

PP Medications Flashcards

1
Q

Use of pitocin

A

PPH

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2
Q

Route of pitocin for PPH

A

IV bolus
IM injection

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3
Q

Actions of pitocin

A

Control PP bleeding
Stimulates uterine smooth muscle causing uterine contractions
Vasoactive and antidiuretic properties

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4
Q

Side effects of pitocin

A

Water intoxication

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5
Q

Nursing responsibilities for pitocin

A

Monitor uterine height, tone, and deviation
Monitor lochia flow
Monitor vital signs

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6
Q

Patient teaching for pitocin

A

Report boggy uterus or increase in lochia flow
Teach pt to massage their fundus

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7
Q

Use of methergine

A

Treat or prevent PPH caused by uterine atony or subinvolution

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8
Q

Preferred route of methergine

A

IM for rapid absorption

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9
Q

Action of methergine

A

Stimulates sustained contractions of uterus and causes arterial vasoconstriction

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10
Q

Side effects of methergine

A

*Hypertension
N/V
Uterine cramping
Dyspnea
Dysrhythmias

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11
Q

Nursing responsibilities for methergine

A

Caution in pts with HTN and cardiac disease
*Caution pts to avoid smoking b/c nicotine cause vasoconstriction
Monitor BP/VS. Check BP prior to each dose
*Monitor fundus and lochia

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12
Q

Patient teaching for methergine

A

*Avoid smoking because nicotine constricts vessels
Abdominal cramps are normal SE
Notify prescriber if you have chest pain, N/V, HA, muscle pain, weakness, cold, numb extremities
Teach Pt to massage fundus

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13
Q

Use of Mylicon (Simethicone)

A

Antiflatulent
Relieves pressure, bloating, and gas
Causes coalescence of gas bubbles, but does not prevent the formation of gas

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14
Q

Route for mylicon (Simethicone)

A

PO

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15
Q

Side effects of Mylicon (Simethicone)

A

Diarrhea
Nausea
Belching

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16
Q

Nursing responsibilities for mylicon (Simethicone)

A

Assess for abdominal pain, distention, and BS prior to administration and throughout course of therapy
Administer after meals and at bedtime for best results
**Instruct pt to chew tablets

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17
Q

Patient teaching for mylicon (Simethicone)

A

Diet and exercise important in prevention of gas
This med does not prevent the formation of gas
*Tablets must be chewed

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18
Q

Route for RhoGam

A

Deep IM

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19
Q

Use of RhoGam

A

*Prevent Rh sensitization in Rh negative moms who deliver Rh positive infants
*Also given at 28 weeks prophylactically

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20
Q

Action of RhoGam

A

Suppresses immune non sensitized Rho negative patients exposed to Rh positive blood
Prevents antibody response preventing hemolytic disease of newborns in future pregnancies

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21
Q

Side effects of RhoGam

A

Pain at injection site
Fever
Myalgia
Lethargy
HA

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22
Q

Nursing responsibilities for RhoGam

A

Obtain type and antibody screen of mother’s blood and neonate’s cord blood
Mom must be Rh negative and infant Rh positive
Assess for allergies, previous administration of this product
Assess for reaction after administration

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23
Q

Patient teaching for RhoGam

A

This med must be given after subsequent deliveries if the babies are Rh positive
Immediately report signs of intravascular hemolysis
Medication is made from human plasma (consideration for Jehovah’s Witness)
Educate mother on why med is given and importance

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24
Q

Symptoms of intravascular hemolysis

A

Shaking
Fever
Chills
Dark urine
Swelling of hands or feet
Back pain
SOB

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25
Q

Name of rubella virus vaccine

A

Meruvax II

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26
Q

Route for Meruvax II

A

SQ

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27
Q

Side effects of Meruvax II

A

Transient stinging at site
Fever
Arthralgia
Transient arthritis
Lymphadenopathy

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28
Q

Nursing responsibilities for Meruvax II

A

Refrigerate vials
Reconstitute with diluent supplied with vial
Use immediately after reconstitution (discard if not used in 8 hrs)
Protect from light
*Obtain informed consent

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29
Q

Who is the Meruvax II vaccination contraindicated for?

A

Immunosuppressed
Pregnant
Sensitive to vaccine component
Severe illness

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30
Q

Patient teaching for Meruvax II

A

Live virus may appear in breast milk causing rash in infant
Vaccine given to prevent acquiring rubella in subsequent pregnancies which can cause serious fetal anomalies
*Must practice contraception to prevent pregnancy for 1 month after being vaccinated
Give within 28 days before pregnancy or after childbirth

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31
Q

Route for Tdap

A

IM
Deltoid preferred for adults

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32
Q

Use of Tdap

A

Prevent diphtheria, tetanus, and pertussis

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33
Q

Side effects of Tdap

A

Local pain
Swelling or erythema at injection site
Fever
HA
Syncope
Myalgias

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34
Q

Nursing repsonsibilities for Tdap

A

Shake well
Give to pt while seated or lying down to decrease syncope
DO NOT mix with other vaccinations
Encourage adult family members who will be around baby to be vaccinated
Assess injection site for reaction
Pregnant women should be vaccinated during the second or third trimester or after childbirth with each pregnancy

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35
Q

Patient teaching for Tdap

A

Sit or lie down until syncope or dizziness has subsided to prevent falls
Vaccine is to prevent you from getting tetanus, diphtheria, and pertussis and is safe during pregnancy
Recommended to be given at 27-36 weeks gestation
Can also be given after delivery
Not a live virus

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36
Q

What is lanolin used for?

A

Topical skin protectant/conditioner for sore or cracked nipples due to breastfeeding

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37
Q

Side effects of lanolin

A

Burning
Stinging
Redness
Irritation

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38
Q

Nursing responsibilities for lanolin

A

*Assess for wool allergy
Monitor patient’s breast for signs of irritation from medication
Assist with application when needed

39
Q

Patient teaching for lanolin

A

*Apply after nursing, no need to wipe off after baby feeds
Do not use if you have wool allergy
Safe for baby

40
Q

What is Americaine Spray (Benzocaine) used for?

A

Topical local anesthetic
Used for PP perineal care
(Episiotomy and hemorrhoidal pain)

41
Q

Side effects of Americaine (Benzocaine)

A

Localized burning or stinging
Rash
Pruritus
Local edema
Hypersensitivity

42
Q

Nursing responsibilities for Americaine (Benzocaine)

A

Assess pain prior to administration
Assess for infection
Evaluate episiotomy site, hemorrhoids
Encourage fluids, fiber, ambulation, and stool softeners

43
Q

Patient teaching for Americaine (Benzocaine)

A

Avoid contact with eyes
Use only for one week
May stain clothing
Don’t breathe in spray
Hold nozzle 6-12 inches from treatment area
Medication may feel cold when sprayed on perineum

44
Q

What are tucks pads?

A

Topical pads with witch hazel
Topical anesthetic and antihemorrhoidal agent

45
Q

Use of Tucks

A

Perineal pain reduction
Temporary management of hemorrhoidal burning and itching
Helps treat perianal surgical wounds and episiotomies
Decreases swelling and Pruritus
Provides protectant barrier over hemorrhoids
Prevents drying of tissues
Shrinks swollen tissue
Blocks pain signals from nerve endings in the skin

46
Q

Side effects of tucks

A

Contact dermatitis (rash, erythema, itching and swelling)
Dryness
Adverse reaction

47
Q

Nursing responsibilities for tucks pads

A

Assess for allergic reaction
Do not use internally
Assess for pain or irritation after use

48
Q

Patient teaching for tucks pads

A

Use medication after urination or defecation up to 6 times per day
You may flush pad after use
For external use only
Wash hands after use

49
Q

Route for Percocet

A

PO

50
Q

Classification of Percocet

A

Opiate analgesic
Controlled substance schedule II

51
Q

Max dose of acetaminophen

A

4000 mg/day

52
Q

What is in Percocet?

A

Oxycodone (1.5-10 mg)
Acetaminophen (325 mg)

53
Q

Side effects of Percocet

A

Sedation
*Constipation
N/V
Dizziness
Pruritus

54
Q

Nursing responsibilities for Percocet

A

Max acetaminophen 4000mg/day
Obtain pain assessment prior to and after administration
*Assess for constipation and address prevention
Increase fluid intake and dietary fiber (stimulant laxative may be needed)
Assess for CNS changes
Give with food

55
Q

Patient teaching for Percocet

A

Avoid getting up without assistance
Change positions slowly to avoid orthostatic hypotension
Max acetaminophen dose = 4000mg/day
Don’t drive while taking this med
Review SE of drug: CNS depression, drowsiness, sedation, constipation
Avoid other CNS depressants for at least 24 hr after last dose (alcohol, sedatives/hypnotics)

56
Q

What is in Lortab?

A

Hydrocodone (2.5-10mg)
Acetaminophen

57
Q

Route for Lortab

A

PO

58
Q

Classification of Lortab

A

Opioid analgesic
Schedule III

59
Q

Use of Lortab

A

Mild to moderate pain

60
Q

Side effects of Lortab

A

CNS depression
*Constipation
N/V
Dizziness
Pruritus

61
Q

Nursing responsibilities for Lortab

A

Obtain pain assessment prior to giving med and after
Monitor VS and CNS changes
Monitor bowel status (*Med cause constipation so RN should address prevention)
Give fluids, fiber, and laxatives as needed
Max 4000mg/day of acetaminophen

62
Q

Patient teaching for Lortab

A

Avoid other CNS depressants for at least 24 hrs after last dose
Avoid getting up without assistance
Change positions slowly
Do not drive while taking med
Review SE of drug - drowsiness, sedation, constipation

63
Q

Route for ibuprofen

A

PO
IV

64
Q

Use of ibuprofen

A

Mild to moderate pain
Anti inflammatory
Antipyretic

65
Q

Side effects of ibuprofen

A

Dyspepsia
Nausea
Fluid retention
GI bleeding
Elevated liver enzymes

66
Q

Nursing responsibilities for ibuprofen

A

Max dose = 3200mg/day
Assess for pain prior to and after giving med
Assess for infection
Give with food
Monitor for fluid retention
Monitor liver and renal function tests if on long term therapy
I&O
Assess history of peptic ulcer disorder

67
Q

Patient teaching for ibuprofen

A

Daily max = 3200mg/day
Take with food
Report new or worsening dyspepsia, fluid retention or signs of bleeding (increased bruising, blood in stools or urine)

68
Q

Use of Toradol

A

NSAID
Non-opioid mild to moderate pain relief
Relieves inflammation

69
Q

Route for Toradol

A

PO
IM
IV

70
Q

Side effects of Toradol

A

Dyspepsia
Fluid retention
Pruritus/rash
Edema
Hypertension

71
Q

Nursing responsibilities for Toradol

A

Assess pain prior and after administration
*DO NOT administer with other NSAIDS
Assess for dyspepsia and GI bleeding
Assess for edema

72
Q

Patient teaching for Toradol

A

*DO NOT take with other NSAIDS
Take with full glass of water
Report bleeding
May cause drowsiness or dizziness
Caution with driving

73
Q

Classification of Roxicodine (oxycodone)

A

Opioid analgesic
Schedule II

74
Q

Route for oxycodone

A

PO

75
Q

Side effects of oxycodone

A

Respiratory depression
Nausea
Constipation
Pruritus
Hypotension
CNS changes

76
Q

Nursing responsibilities for oxycodone

A

Caution in combination with other sedating meds (Benzo’s opioids)
Assess pain prior to and after giving medication
Monitor VS and CNS changes prior to additional doses
Med can cause constipation - RN should address preventions (give fluids, fiber, and laxative as needed)

77
Q

Generic name for Colace

A

Docusate sodium

78
Q

Route for Colace

A

PO
PR

79
Q

Use of Colace

A

Stool softener
for easy passage of stool without great effort of pushing
To prevent constipation
Increases water and fat penetration time in intestine

80
Q

Side effects of Colace

A

Cramps
Diarrhea
Throat irritation
Rash
Electrolyte disorders

81
Q

Nursing responsibilities for Colace

A

*If 4th degree lac or episiotomy, nothing in rectum
Assess cramping, rectal bleeding, diarrhea - if present, discontinue
Ensure adequate fluid and fiber intake
Give with 8 oz liquid, give on empty stomach
Monitor I&O
Identify cause of constipation

82
Q

Patient teaching for Colace

A

Adequate fluid intake
Fiber and exercise necessary for adequate bowel function
May take up to 3 days for stool to soften
Proper peri care to prevent infection

83
Q

Generic name for Dulcolax

A

Biscodyl

84
Q

Route for Dulcolax

A

PO
PR (suppository/enema use)

85
Q

Classification of Dulcolax

A

Stimulant laxative

86
Q

Use of Dulcolax

A

Short term treatment of constipation
Acts directly on intestine by increasing motor activity

87
Q

Side effects of Dulcolax

A

N/V
Abdominal cramps
Diarrhea
Rectal burning
Weakness

88
Q

Nursing responsibilities for Dulcolax

A

*If 4th degree laceration or episiotomy, nothing in rectum
Monitor I&O
Assess GI symptoms: cramping, rectal bleeding, N/V - if these occur, discontinue
Encourage fluids/fiber
Lubricate suppository prior to insertion
Have patient retain for 30 min

89
Q

Patient teaching for Dulcolax

A

Adequate fluid intake, fiber and exercise
Take with full glass of water
Take 2 hrs after consuming dairy, take 1 hr after eating other foods
Swallow tablets whole
DO NOT take long term. This will result in loss of bowel tone. Use no longer than 1 week

90
Q

Classification of tylenol

A

Non-opioid analgesic

91
Q

Use of tylenol

A

Mild to moderate pain or fever
Does not possess anti-inflammatory properties

92
Q

Side effects of tylenol

A

Nausea
Rash
HA
Hepatotoxicity
Allergic reaction

93
Q

nursing responsibilities for tylenol

A

Assess pain before and after administration
Monitor liver function studies
Monitor renal and blood studies

94
Q

Patient teaching for tylenol

A

Inform max dose is 4000mg/day and may be contained in other meds
May mask fever, so watch for S/S of infection
Recognize the signs of chronic OD: bleeding, bruising, malaise, fever, sore throat
Toxicity may occur when using acetaminophen with other combination drugs

OB (11 decks)

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