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Women's Health Clinical Meds > Week 2 > Flashcards

Week 2 Flashcards

1
Q

Ibuprofen: trade name

A

Motrin

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2
Q

Ibuprofen: indications

A
  • afterpains
  • perineal pain
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3
Q

Ibuprofen: dosage

A
  • as an analgesic: 200–400 mg q 4–6 hr (not to exceed 1200 mg/day)
  • as an anti-inflammatory: 400–800 mg 3–4 times daily (not to exceed 3200 mg/day)
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4
Q

Ibuprofen: ADRs

A
  • HA
  • dizziness
  • constipation
  • dyspepsia
  • nausea
  • GI bleeding
  • anaphylaxis
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5
Q

Ibuprofen: nursing implications

A
  • encourage mother to take on regular schedule to stay ahead of both perineal and analgesic discomfort
  • take w/ full glass of water
  • assess pain
  • monitor for S/S of GI bleed
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6
Q

Oxycodone w/ acetaminophen: trade name

A

Percocet

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7
Q

Oxycodone w/ acetaminophen: indications

A
  • postpartum perineal pain and afterpains
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8
Q

oxycodone w/ acetaminophen: dosage

A
  • 0.2 mg/kg q 3–4 hr initially, as needed (oxycodone)
  • 325–650 mg q 6 hr (acetaminophen)
    • do not exceed 4g of acetaminophen/day
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9
Q

oxycodone w/ acetaminophen: ADRs

A
  • orthostatic hypoTN
  • confusion
  • sedation
  • constipation
  • HA
  • dry mouth
  • n/v
  • respiratory depression
  • atelectasis
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10
Q

oxycodone w/ acetaminophen: nursing implications

A
  • teach pt about potential for abuse/opiate dependence
  • teach pt not to exceed 4g/day of acetaminophen
  • advise pt to make position changes slowly
  • do not drink alcohol
  • turn, cough, deep breathe to prevent atelectasis
  • assess BP, pulse, respirations
  • assess pain
  • assess bowel function routinely
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11
Q

morphine sulfate (long acting): trade name

A

Duramorph

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12
Q

morphine sulfate (long acting): indications

A
  • postpartum CS pain
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13
Q

morphine sulfate (long acting): dosage

A
  • epidural:
    • intermittently: 5 mg/day (initially); if relief is not obtained at 60 min, 1–2 mg increments may be made
      • (total dose not to exceed 10 mg/day.)
  • IV: 4–10 mg q 3–4 hr
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14
Q

morphine sulfate (long acting): ADRs

A
  • itching
  • nausea
  • confusion
  • sedation
  • respiratory depression
  • hypoTN
  • constipation
  • flushing
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15
Q

morphine sulfate (long acting): nursing implications

A
  • administer immediately after CS via epidural to give pain relief for 18-24 hours
  • change positions slowly
  • no alcohol use
  • emphasize importance of constipation prevention: fluids, walking, fiber
  • assess bowel function routinely
  • d/c gradually
  • monitor RR, breath sounds
  • assess pain
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16
Q

Ketorolac: trade name

A

Toradol

17
Q

Ketorolac: indications

A
  • postpartum CS pain management
18
Q

Ketorolac: dosage

A
  • PO: 20 mg initially, followed by 10 mg q 4–6 hr (not to exceed 40 mg/day).
  • IM:
    • Single dose– 60 mg.
    • Multiple dosing– 30 mg q 6 hr (not to exceed 120 mg/day).
  • IV: same as IM
19
Q

Ketorolac: ADRs

A
  • drowsiness
  • dizziness
  • n/v
  • itching
  • GI bleed
  • injection site pain
  • prolonged bleeding time
20
Q

ketorolac: nursing implications

A
  • avoid using alcohol, NSAIDs, acetaminophen
  • should always give initially as IM/IV
  • administer IVPB over 15 sec
  • assess pain
21
Q

Naloxone: trade name

A

Narcan

22
Q

Naloxone: indications

A
  • severe respiratory depression in the newborn when the mother has received narcotics w/in 4 hours of delivery
23
Q

Naloxone: dosage

A
  • neonates: 0.1 mg/kg
    • can give IM, IV, subQ
      • IV is preferred during resuscitation
      • IM is acceptable but may have delayed onset
24
Q

Naloxone: ADRs

A
  • if mother was addicted to opiates, do not give
    • may cause withdrawal and seizures
  • n/v
  • ventricular arrhythmias
25
Q

Naloxone: nursing implications

A
  • note strength of med available when calculating dose
  • when depression from opiates is expected, prepare syringe before birth by drawing up more than is needed
    • after birth, calc amt needed for infant’s weight
    • excess is removed from syringe and correct dose given
  • monitor for response, and be prepared to give repeated doses
26
Q

Simethicone: trade name

A

Mylicon

27
Q

Simethicone: indications

A
  • Relief of painful symptoms of excess gas in the GI tract that may occur CS
28
Q

Simethicone: dosage

A
  • 40–125 mg qid, after meals and at bedtime
    • (up to 500 mg/day).
29
Q

Simethicone: ADRs

A

None significant!

30
Q

Simethicone: nursing implications

A
  • Assess patient for abdominal pain, distention, and bowel sounds prior to and periodically throughout course of therapy.
    • Frequency of belching and passage of flatus should also be assessed
  • administer after meals and at bedtime for best results

Women's Health Clinical Meds (5 decks)

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