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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
Name of rubella virus vaccine
Meruvax II
26
Route for Meruvax II
SQ
27
Side effects of Meruvax II
Transient stinging at site Fever Arthralgia Transient arthritis Lymphadenopathy
28
Nursing responsibilities for Meruvax II
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
29
Who is the Meruvax II vaccination contraindicated for?
Immunosuppressed Pregnant Sensitive to vaccine component Severe illness
30
Patient teaching for Meruvax II
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
31
Route for Tdap
IM Deltoid preferred for adults
32
Use of Tdap
Prevent diphtheria, tetanus, and pertussis
33
Side effects of Tdap
Local pain Swelling or erythema at injection site Fever HA Syncope Myalgias
34
Nursing repsonsibilities for Tdap
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
35
Patient teaching for Tdap
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
36
What is lanolin used for?
Topical skin protectant/conditioner for sore or cracked nipples due to breastfeeding
37
Side effects of lanolin
Burning Stinging Redness Irritation
38
Nursing responsibilities for lanolin
*Assess for wool allergy Monitor patient’s breast for signs of irritation from medication Assist with application when needed
39
Patient teaching for lanolin
*Apply after nursing, no need to wipe off after baby feeds Do not use if you have wool allergy Safe for baby
40
What is Americaine Spray (Benzocaine) used for?
Topical local anesthetic Used for PP perineal care (Episiotomy and hemorrhoidal pain)
41
Side effects of Americaine (Benzocaine)
Localized burning or stinging Rash Pruritus Local edema Hypersensitivity
42
Nursing responsibilities for Americaine (Benzocaine)
Assess pain prior to administration Assess for infection Evaluate episiotomy site, hemorrhoids Encourage fluids, fiber, ambulation, and stool softeners
43
Patient teaching for Americaine (Benzocaine)
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
What are tucks pads?
Topical pads with witch hazel Topical anesthetic and antihemorrhoidal agent
45
Use of Tucks
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
Side effects of tucks
Contact dermatitis (rash, erythema, itching and swelling) Dryness Adverse reaction
47
Nursing responsibilities for tucks pads
Assess for allergic reaction Do not use internally Assess for pain or irritation after use
48
Patient teaching for tucks pads
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
Route for Percocet
PO
50
Classification of Percocet
Opiate analgesic Controlled substance schedule II
51
Max dose of acetaminophen
4000 mg/day
52
What is in Percocet?
Oxycodone (1.5-10 mg) Acetaminophen (325 mg)
53
Side effects of Percocet
Sedation *Constipation N/V Dizziness Pruritus
54
Nursing responsibilities for Percocet
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
Patient teaching for Percocet
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
What is in Lortab?
Hydrocodone (2.5-10mg) Acetaminophen
57
Route for Lortab
PO
58
Classification of Lortab
Opioid analgesic Schedule III
59
Use of Lortab
Mild to moderate pain
60
Side effects of Lortab
CNS depression *Constipation N/V Dizziness Pruritus
61
Nursing responsibilities for Lortab
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
Patient teaching for Lortab
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
Route for ibuprofen
PO IV
64
Use of ibuprofen
Mild to moderate pain Anti inflammatory Antipyretic
65
Side effects of ibuprofen
Dyspepsia Nausea Fluid retention GI bleeding Elevated liver enzymes
66
Nursing responsibilities for ibuprofen
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
Patient teaching for ibuprofen
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
Use of Toradol
NSAID Non-opioid mild to moderate pain relief Relieves inflammation
69
Route for Toradol
PO IM IV
70
Side effects of Toradol
Dyspepsia Fluid retention Pruritus/rash Edema Hypertension
71
Nursing responsibilities for Toradol
Assess pain prior and after administration *DO NOT administer with other NSAIDS Assess for dyspepsia and GI bleeding Assess for edema
72
Patient teaching for Toradol
*DO NOT take with other NSAIDS Take with full glass of water Report bleeding May cause drowsiness or dizziness Caution with driving
73
Classification of Roxicodine (oxycodone)
Opioid analgesic Schedule II
74
Route for oxycodone
PO
75
Side effects of oxycodone
Respiratory depression Nausea Constipation Pruritus Hypotension CNS changes
76
Nursing responsibilities for oxycodone
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
Generic name for Colace
Docusate sodium
78
Route for Colace
PO PR
79
Use of Colace
Stool softener for easy passage of stool without great effort of pushing To prevent constipation Increases water and fat penetration time in intestine
80
Side effects of Colace
Cramps Diarrhea Throat irritation Rash Electrolyte disorders
81
Nursing responsibilities for Colace
*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
Patient teaching for Colace
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
Generic name for Dulcolax
Biscodyl
84
Route for Dulcolax
PO PR (suppository/enema use)
85
Classification of Dulcolax
Stimulant laxative
86
Use of Dulcolax
Short term treatment of constipation Acts directly on intestine by increasing motor activity
87
Side effects of Dulcolax
N/V Abdominal cramps Diarrhea Rectal burning Weakness
88
Nursing responsibilities for Dulcolax
*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
Patient teaching for Dulcolax
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
Classification of tylenol
Non-opioid analgesic
91
Use of tylenol
Mild to moderate pain or fever Does not possess anti-inflammatory properties
92
Side effects of tylenol
Nausea Rash HA Hepatotoxicity Allergic reaction
93
nursing responsibilities for tylenol
Assess pain before and after administration Monitor liver function studies Monitor renal and blood studies
94
Patient teaching for tylenol
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

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