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Women's Health Clinical Meds > Week 1 > Flashcards

Week 1 Flashcards

1
Q

Docusate Sodium: trade name

A

Colace

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2
Q

docusate sodium: indications

A
  • prevention of constipation after pregnancy
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3
Q

docusate sodium: dosage

A
  • 50–400 mg in 1–4 divided doses.
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4
Q

docusate sodium: ADRs

A
  • cramps
  • diarrhea
  • rashes
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5
Q

docusate sodium: nursing implications

A
  • give with a full glass of water
  • only use short term or else may cause electrolyte imbalance, dehydration, dependence
  • teach pt to walk more, drink more fluids, and ingest more fiber
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6
Q

Ferrous Sulfate: trade name

A

Feosol

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7
Q

ferrous sulfate: indications

A
  • to treat or prevent iron deficiency anemia
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8
Q

ferrous sulfate: dosage

A
  • 60–100 mg elemental iron daily.
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9
Q

ferrous sulfate: ADRs

A
  • n/v
  • constipation
  • dark stools
  • epigastric pain
  • dizziness
  • HA
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10
Q

ferrous sulfate: nursing implications

A
  • take 1 hour before meals or 2 hours after
  • teach pt that stools may become dark black or green
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11
Q

Rubella Vaccination: Indication

A
  • administered at least 28 days before pregnancy or after childbirth or abortion to women whose Ab screen shows they are not immune to rubella
  • prevents rubella infection and possible severe congenital defects in the fetus during a subsequent pregnancy
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12
Q

rubella vaccination: dosage

A
  • 0.5 mL subQ
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13
Q

rubella vaccination: ADRs

A
  • transient stinging at site
  • fever
  • lymphadenopathy
  • arthralgia
  • transient arthritis
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14
Q

rubella vaccination: nursing implications

A
  • refridgerate vials
  • reconstitute only with diluent supplied
  • use immediately after reconstitution and discard if not used in 8 hours
  • check with provider before giving near time of administration of RhoD immunoglobulin
  • avoid pregnancy at least 4 weeks after vaccination
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15
Q

Rho (D) Immune Globulin: trade name

A

RhoGAM

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16
Q

Rho (D) Immune Globulin: Indications

A
  • given to Rh negative women who have been exposed to Rh positive blood by:
    • delivering an Rh+ infant
    • aborting an Rh+ infant
    • undergoing chorionic villus sampling, amniocentesis, or intraabdominal trauma while carrying an Rh+ infant
    • receiving inadvertent infusion of Rh+ blood
17
Q

Rho (D) Immune Globulin: Dosage

A
  • 1 std dose (300 mcg) administered IM:
    • at 28 weeks of pregnancy and w/in 72 hours of delivery of Rh+ infant
    • w/in 2 hours after termination of pregnancy of 13 wks or more of gestation
  • 1 microdose (50 mcg) w/in 72 hours after termination of pregnancy of less than 13 weeks of gestation
18
Q

Rho (D) Immune Globulin: ADRs

A
  • local pain at IM site
  • fever
19
Q

Rho (D) Immune Globulin: Nursing Implications

A
  • type and Ab screen of mother’s blood and cord blood type to determine need for medication
    • mother must be Rh- and negative for Rh- Ab
    • infant must be Rh+
  • drug is administered to mom, not infant
  • administer in deltoid
20
Q

Tdap vaccination: indications

A
  • give to prevent transmission of dz to infant
    • given at 27-36 weeks
    • or as soon as possible after birth
21
Q

Tdap vaccination: dosage

A
  • 0.5 mL IM
22
Q

Tdap vaccination: ADRs

A
  • abdominal pain
  • chills
  • diarrhea
  • fatigue
  • HA
  • n/v
  • pain at injection site
23
Q

Tdap vaccination: nursing implications

A
  • administer in deltoid if possible
  • administer before woman is discharged if she did not receive during pregnancy
24
Q

Erythromycin ointment: trade name

A

Ilotycin

25
Q

Erythromycin ointment: indications

A
  • prophylaxis against gonorrhea
    • helps prevent ophthalmia neonatorum in infants of mothers infected with gonorrhea
  • required by law in all infants even if mother not known to be infected
26
Q

Erythromycin ointment: dosage

A
  • a ribbon of 0.5% erythromycin oitment, 1 cm long, is applied to lower conjunctival sac of each eye w/in 1 hour after birth
27
Q

Erythromycin ointment: ADRs

A
  • burning
  • itching
  • irritation may result in chemical conjunctivitis lasting 24-48 hours
  • may cause temporary blurred vision
28
Q

Erythromycin ointment: nursing implications

A
  • do not rinse
  • may be wiped from the outer eye after 1 min
  • observe for irritation
29
Q

Vitamin K: trade name

A

Phytonadione

30
Q

Vitamin K: indications

A
  • orevention or treatment of vitamin K deficiency bleeding
    • hemorrhagic dz of the newborn
31
Q

Vitamin K: dosage

A
  • 0.5-1.0 mg given 1x IM w/in 1 hour of birth for prophylaxis
    • may be delayed for breastfeeding in delivery room
32
Q

Vitamin K: ADRs

A
  • erythema, pain, and edema at injection site
  • anaphylaxis
  • hemolysis
  • hyperbilirubinemia, esp in preterm infant or if large dose is used
33
Q

Vitamin K: nursing implications

A
  • protect drug from light until just before administration
  • observe all infants for vit K deficiency
    • ecchymoses or bleeding from any site
  • check that the infant has had vitamin K before circumcision is performed
34
Q

Hepatitis B vaccine: trade name

A

Engerix

35
Q

Hepatitis B vaccine: indications

A
  • prevention of hepatitis B in exposed and unexposed infants
36
Q

Hepatitis B vaccine: dosage

A
  • 10 mcg
    • first dose given to newborns in hospital before discharge
    • second dose given at 1-2 mos
    • third dose given at 6-18 mos (at least 16 weaks after 1st dose)
37
Q

Hepatitis B vaccine: ADRs

A
  • pain or redness at the site
  • fever
  • fatigue
  • HA
38
Q

Hepatitis B vaccine: nursing implications

A
  • if a vial is used, shake soln well before preparing
  • give vaccine w/in 12 hours of birth to infants of infected mothers
  • do not inject IV or ID
  • obtain parental consent before administering

Women's Health Clinical Meds (5 decks)

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