Prostaglandin Flashcards
Prostaglandin
misoprostol
Prostaglandin
Actions
Inhibits gastric acid secretion and increases bicarbonate and mucous production in the stomach
Prostaglandin
Indications
Prevention of NSAID-induced gastric ulcers
Treatment of duodenal ulcers
Prostaglandin
Contraindications
Pregnancy
Prostaglandin
Caution
Lactation
Prostaglandin
Adverse Effects
GI effects – Nausea, diarrhea, abdominal pain, flatulence, vomiting, dyspepsia, and constipation
GU effects – Miscarriages, excessive bleeding, spotting, cramping, hypermenorrhea, dysmenorrhea, and other menstrual disorders
Prostaglandin
Assessment
History
Allergy
Pregnancy and lactation
Physical
Skin
Neurological status, including level of orientation, affect, and reflexes
Abdominal assessment
Respiratory status, including respiratory rate and rhythm
Prostaglandin
Nursing Diagnoses
Diarrhea
Risk for constipation
Imbalanced nutrition: less than body requirements
Ineffective sexuality pattern
Deficient knowledge
Prostaglandin
Implementation
Administer to patients at high risk for NSAID-induced ulcers during the full course of NSAID therapy
Evaluate nutritional status
Arrange for a serum pregnancy test within 2 weeks before beginning treatment and begin therapy on the 2nd or 3rd day of the menstrual period
Provide the patient with information regarding the associated risks of pregnancy
Explain the risk of menstrual disorders and pain, miscarriage, and excessive bleeding
Provide thorough patient teaching
Prostaglandin
Evaluation
Patient response
Effectiveness of teaching plan
Effectiveness of comfort measures
Compliance
