Week 1 Flashcards
1
Q
Docusate Sodium: trade name
A
Colace
2
Q
docusate sodium: indications
A
- prevention of constipation after pregnancy
3
Q
docusate sodium: dosage
A
- 50–400 mg in 1–4 divided doses.
4
Q
docusate sodium: ADRs
A
- cramps
- diarrhea
- rashes
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
6
Q
Ferrous Sulfate: trade name
A
Feosol
7
Q
ferrous sulfate: indications
A
- to treat or prevent iron deficiency anemia
8
Q
ferrous sulfate: dosage
A
- 60–100 mg elemental iron daily.
9
Q
ferrous sulfate: ADRs
A
- n/v
- constipation
- dark stools
- epigastric pain
- dizziness
- HA
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
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
12
Q
rubella vaccination: dosage
A
- 0.5 mL subQ
13
Q
rubella vaccination: ADRs
A
- transient stinging at site
- fever
- lymphadenopathy
- arthralgia
- transient arthritis
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
15
Q
Rho (D) Immune Globulin: trade name
A
RhoGAM
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
Erythromycin ointment: indications
* 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
Erythromycin ointment: dosage
* 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
Erythromycin ointment: ADRs
* burning
* itching
* irritation may result in chemical conjunctivitis lasting 24-48 hours
* may cause temporary blurred vision
28
Erythromycin ointment: nursing implications
* do not rinse
* may be wiped from the outer eye after 1 min
* observe for irritation
29
Vitamin K: trade name
Phytonadione
30
Vitamin K: indications
* orevention or treatment of vitamin K deficiency bleeding
* hemorrhagic dz of the newborn
31
Vitamin K: dosage
* 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
Vitamin K: ADRs
* erythema, pain, and edema at injection site
* anaphylaxis
* hemolysis
* hyperbilirubinemia, esp in preterm infant or if large dose is used
33
Vitamin K: nursing implications
* 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
Hepatitis B vaccine: trade name
Engerix
35
Hepatitis B vaccine: indications
* prevention of hepatitis B in exposed and unexposed infants
36
Hepatitis B vaccine: dosage
* 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
Hepatitis B vaccine: ADRs
* pain or redness at the site
* fever
* fatigue
* HA
38
Hepatitis B vaccine: nursing implications
* 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
