Nursing: Labor & Delivery Meds

Question Answer Questions Answers
What Routes can Oxytocin,Pitocin,and Syntocinon be given? IV or IM What are the Objective Data Evaluations for Cytotec? 1. Cervical softening and dilation occur with ultimate vaginal delivery as the goal.
2. Cessation or control of bleeding in the patient who has experienced a postpartum
hemorrhage
3. Delivery of demised fetus
How much Oxytocin,Pitocin, Syntocinon can be given my the IM Route? 10 units What are the Usual Dose routes for Cytotec? 1. PO 25 to 50 mcg Q4h for up to 4 doses; Vag
25 to 50 mcg Q4h for up to 4 doses 2. 200 to 1000 mcg per rectum 3. 200 to
1000mcg vag/PO/rectally
How much Oxytocin,Pitocin, Syntocinon can be given my the IV Route? 0.5mu-2mu every 30 to 60 minutes adding up to 30mu a minute. Or 30 mu in 500mL of NS Solution with a bolus of (999mL/hr).Maintence @ 100mL to 200mL/hr. A second bag can be infused What is the Route Penicillin can be given? IV
What are the Side Effects of Oxytocin,Pitocin, Syntocinon? 1.Arrhythmias,2. Hypertension, 3. tetanic uterine contractions, 4. uterine rupture,
5.fetal bradycardia, 6.fetal tachycardia
What is th eususal dose route for Penicillin? initial dose of 5 million units IVPB followed by
2.5 million units IVPB Q4H until delivery.
What are the Clinical Indications for Oxytoxin,Pitocin, Syntocinon? 1. Induction of labor 2. Augmentation of labor 3. Control of Postpartum
Bleeding
What is the generic name for Penicillin? 1.Penicillin G; 2.Pfizerpen
What are the nursing Considerations for Oxytoxin,Pitocin, Syntocinon? When administering for induction or augmentation, the nurse
must utilize continuous EFM.
What is the Medication Class for Penicillin? 1.Anti-infectives; 2. penicillins
What is the generic name for Magnesium Sulfate Magnesium Sulfate What is the Medication Class for Magnesium Sulfate? 1.anticonvulsant; 2.mineral and electrolyte replacement
What are the 2 Clinical Indication for Magnesium Sulfate? 1. Treatment of PIH 2. Treatment of PTL What routes can Magnesium Sulfate be given? IV
What are the 6 Side Effects of Magnesium Sulfate? 1.depressed DTRs, 2.drowsiness, 3.flushing, 4.diaphoresis, 5.hypotension (fetal side
effects – respiratory depression), 6.magnesium toxicity
What is the usual dose for Magnesium Sulfate? 40 GMS in a 1000mL solution of D5W or
D5LR. Initially a bolus dosage of 2 to 4 GM infused over 20-30 minutes and then a
What are the Nursing Considerations for Magnesium Sulfate? 1.continually assess DTRs with the patient,2.assess for magnesium
toxicity, 3.For infant whose mom recieved Mag Sulfate respiratory depression [email protected] delivery
What is the Antedote for Magnesium Sulfate? Calcium Gluconate
WHat is the Objective Evaluation for Magnesium Sulfte? 1.No PIH: BP values willdecrease.evaluation would include giving pre and during administration BP values. 2.Control PTL no preterm delivery,little to no contractions WHat is the Clinical indication for Penicillin? prevention of GBS to the infant in the positive GBS mother or the mother
with an unknown classification
What is the generic name for Cytotec? Misoprostol What is Medication Classification for Cytotec? 1.prostaglandin E1 analogue; 2.antiulcer agents, 3.cytoprotective agents
What are the 3 Clinical Indication for Cytotec? 1. Cervical ripening/Induction 2. PP Hemorrhage 3. Induction for IUFD What routes can Cytotec be given? 1. PO and vaginal 2. Rectally 3. PO, Vaginal, Rectally
What are the 2 Side Effects for Cytotec? 1.diarrhea, 2. headache What are the Nursin Considerations for Cytotec? For vaginal placement, pt must remain flat for 20-30 minutes
after placement; the nurse must utilize continuous EFM for 2 hours post dosage by any
route.
What are the 3 Side Effects of Penicillin? 1.epigastric distress; 2.allergic reactions (hives; difficulty breathing; swelling
of the face, lips, tongue or throat); 3.IV burning and irritation;
WHat are the Nursing Considerations for Penicillin? Observe for allergic reactions and notify MD; notify nursery
personnel of the number of doses received prior to delivery.
What is the Objective Evaluation Data for Penicillin? that the infant would be free of infection related to GBS What is the generic name for Terbutaline? brethine
What is the Medication Class for Terbutaline? 1.B2 agonist; 2.bronchodilator; 3.adrenergics What is the Clinical Indication for Terbutaline? Currently
used in an emergent situation for tetanic contractions. FDA recommended to pull for the use of preterm labor in 2011
What route can Terbutaline be given? PO What is the Usual dose route for Terbutaline to be given? Currently 0.25mg one time IV
What is the FDA protocol for Terbutaline? due to the “potential for serious maternal
heart problems and death
If Terbutalin hasto be given whats the exact dosing? 0.25mg SC Q 15 minutes x 3 total doses. or Give 2.5 to 5mg PO 30 minutes after the last SC dose; then give 2.5 to
5mg Q4 to 6 hours prn contractions
What are the 5 Side Effects of Terbutaline? 1.arrythmias, 2.palpitations, 3.nervousness, 4.restlessness, 5.tremors What are the Nursing Considerations for Terbutaline? Dosage should be held if HR above 130.
What is the Objective Evaluation Data for Terbutaline? Effectiveness would be determined by the cessation of contractions or the prevention of
preterm birth.
What is the generic name for Hemabate? Carboprost Tromethamine
What is the Medicaltion Class for Hemabate? prostaglandin F2? What is the Clinical Indication for Hemabate? Control of Postpartum hemorrhage
What Route can Hemabate be given? IM What is the usual dose for Hemabate? 250mcg IM x 1 dose
What are the 4 Side Effects of Hemabate? 1.diarrhea, 2.nausea; 3.fever; 4.increased BP What are the Nursing Cosiderations for Hemabate? Staff need to be aware of the potential for explosive
uncontrolled diarrhea within 1 hour of administration.
What is the Objective Evaluation Data for Hemabate? Cessation or control of bleeding in the patient who has experienced a postpartum
hemorrhage
What is the generic name for Methergine? Methylergonovine
What is the Medication class fir Methergine, and Methylergonovine ? 1.oxytocic;2. ergot alkaloids What is the Clinical Indication for Methergine, and Methylergonovine? control of postpartum hemorrhage
What route can Methergine and Methylergonovine be given? 1.IM
2. PO
What is the Usual dose for Methergine and Methylergonovine? 1. 0.2mg IM initial dose; 2. 0.2 to 0.4 mg PO Q6H
with a limited number of doses specified
What are the Side Effects of Methergine and Methylergonovine? 1. increased BP, 2.nausea, 3.vomiting, 4.cramps, 5.hypertension What are the Nursing Considerations for Methylergonovine? Nurse must document BP prior to administration of PO
medication; Hold and notify MD if BP > 140/90
What is the Objective Evaluation for Methergine and Methylergonovine? Cessation or control of bleeding in the patient who has experienced a postpartum hemorrhage What are the generic names for Procardia? 1.Nifedipine, 2.Adalat CC,3. Adalat PA,4. Adalat XL, 5.Afeditab CR, 6.Apo-Nifed, 7.Nifedical XL,8. Novo-Nifedin, 9.Nu-Nifed,10. Procardia XL
What is the medication Class for Procardia? 1.Antianginals; 2.Antihypertensives; 3.Calcium channel blocker WHat is the Nursing Indication for Procardia? Treatment of PTL – relaxes the smooth muscle of the uterus to prevent
contractions by blocking calcium
What is the Route that Procardia can be given? PO What is the Usual Dose for Procardia? 2.Initial dose of 10mg PO Q 20 min X 3 doses;
2.then 10mg Q 6 to 8 H
What are the 5 Side Effects for Procardia? 1.dizziness,2. transient tachycardia, 3.headache, 4.arrhythmias, 5.hypotension What is the Nursing Consideration for Procardia? Monitor BP
What is the Objective Evaluation Data for Procardia? 1.Control of PTL;
2.no preterm delivery is the goal; 3.cessation or decrease in intensity and frequency
of contraction pattern.
What is the generic name for Oxytocin? Pitocin, Syntocinon, What are the Nursing Objective Evaluation Data for Oxytocin, Pitocin, and Syntocinon concerning Induction and Augumentation of Labor? Adequate contraction pattern leading to cervical change with ultimate goal of vaginal
delivery
What is the Medication Class for Oxytocin? Exogenous Hormone What are the 2 Nursing Objective Evaluation Data for Oxytocin, Pitocin, and Syntocinon concerning postparteum bleeding? Control of postpartum bleeding to maintain within expected parameters. (maintenance
of less than 500mL for a vaginal delivery)

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