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Ob Nursing Drug Cards

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Generic Name: meperidineBrand Name ( s ) : Demerol| Pregnancy Category: C| Route of Administration: IM. SUBCUT| Drug Category: opioids analgesic| Indication: labour analgesia| Normal Dose: Labor analgesia Adult: 50-100 milligram given when contractions on a regular basis spaced repeat q1-3h prn| Side Effectss: Central nervous system: sleepiness. giddiness. confusion. HA. sedation. euphory. increased intracranial force per unit area. ictuss. respiratory depression. anaphylaxis|

Nursing Considerations/Teachings/Interventions:Nursing Consideration: platinum should stay recumbent for 1hr after IM/SUBCUT path. shoot into big musculus mass May cause fatal reaction: MAOI’s.

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carbazineTx for Overdose: Naloxone ( Narcan ) 0. 2-0. 8 mg IV. O2. IV fluids vasopressors Assess-•Pain: location. type. character. Give before hurting is utmost and reassess 60 mins after dosage. •I & A ; O •CNS Cx: giddiness. sleepiness. reduced LOC. euphory. pupil reaction Respiratory disfunction


Safety steps: •night-light ; •call bell within rangeThatch: •Report any CNS Cx or allergic reactions. •If sleepiness occurs call for aid ; •Make place Cx easy d/t orthostatic hypotension

Nursing Considerations/Teachings/Interventions:Nursing Consideration: platinum should stay recumbent for 1hr after IM/SUBCUT path. shoot into big musculus mass May cause fatal reaction: MAOI’s. carbazineTx for Overdose: Naloxone ( Narcan ) 0. 2-0. 8 mg IV. O2. IV fluids vasopressors Assess-•Pain: location. type. character. Give before hurting is utmost and reassess 60 mins after dosage. •I & A ; O •CNS Cx: giddiness. sleepiness. reduced LOC. euphory. pupil reaction Respiratory disfunction


Safety steps: •night-light ; •call bell within rangeThatch: •Report any CNS Cx or allergic reactions. •If sleepiness occurs call for aid ; •Make place Cx easy d/t orthostatic hypotension

Generic Name: fentaNYLBrand Name ( s ) : ABSTRAL. Actiq. Fentora. Onsolis. RAN-Fentanyl| Pregnancy Category: C| Drug Category: Opioid analgesic| Indication: •Control moderate to severe hurting •Premedication or adjunct to anesthesia ( witting sedation or regional ) | Route of Administration: IV. Transmucosal. Buccal. nasal spray. SL spray| Nursing Considerations/Teachings/Interventions: Nursing Considerations: •Notify prescriber if Resp rate & lt ; 10 beats per minute •Assess for CNS Cx •Allergic reactions: roseola. urticarialEvaluate: •Therapuetic responseTeach: •TCDB. post-op •Safety steps – siderails. night-light. call bell within range •Possible CNS Cx|

Common Side Effects: •CNS: giddiness. craze •CV: blurred vision •GI: N & A ; V. irregularity. urinary keeping •INTEG: roseola. perspiration •MS: musculus rigidity| Life Threatening Side Effectss: •CV: Bradycardia. CVA •RESP: respiratory depression. MI. larngospasm| Normal Dose: ( Adult ) Anesthetic • IV 25-100 microgram q 2-3 min prnAnesthesia addendum •IM/IV 2-20- mcg/kg •IV Infusion 0. 025-0. 25 mcg/kg/min Induction and care •IV bolus 5-40 mcg/kgPreoperatively • IM/IV 0. 05 – 0. 1 mg q30-60 min before surgeryPostoperatively • IM/IV 0. 05-0. 1 mg q1-2h prnSedation/analgesia • IV 0. 5-1 mcg/kg/dose. may reiterate after 30-60min | Ped’s Dosage: Anaesthetic Induction and care: 2-12 year IV 2-3 mcg/kg Sedation/analgesia:1-12 yrsIV Bolus 1-2 mcg/kg/dose. may reiterate q30-60mins ; go on IV 1-5 mcg/kg/hr after IV bolus doseSedation ( neonate ) IV bolus 0. 5mg-3 mcg/kg/dose with uninterrupted IV 0. 5mg-2 mcg/kg/hr after IV bolus. |

Generic Name: ibuprofenBrand Name ( s ) : Advil. Midol. Motrin| Pregnancy Category: B 3rd trimester- Cat D| Route: PO. IV| Drug Category: NSAID. non-opioid analgesic| Indication: redness. analgesia. antipyretic| Nursing Considerations: Adm with nutrient. milk or antacid to diminish GI symptoms ; if N & A ; V occur or persis. notify perscriber Assess- •Pain: note type. continuance. lacoation. strength with ROM 1 hour after adm•Infection: may dissemble symptoms ; febrility: temp before and 1 hour after admEvaluate- Curative response: decreased hurting. stiffness in articulations ; decreased swelling in articulations ; ability to travel more easy ; decrease in febrility or catamenial cramping Teach- •Therapuetic effects may take up to 1 minutes •Report blurred vision. tintinnabulation.howling in ears ( may bespeak toxicity ) ; oculus and hearing trials for long-run therapy Alert: Nephrotoxicity: study Cx in urinary form. increased weight. hydrops. increased hurting in articulations. febrility. blood in urine Alert: Avoid intoxicant. NSAIDs. salicylates ; shed blooding may occur| Side Effects: Headache. CV. thrombotic events. MI. shot. anorexia. hepatitis. GI hemorrhage. ulceration. necrotizing enterocolitis. GI perforation. Nephrotoxicity. Blood dyscrasias. nectrotizing fascitis. anaphylaxis. Stevens-Johnson syndrome|

Normal Dose:Self Tx of minor aches/pains — Adult/adolescent: PO ( available OTC ) 200mg 44-6hr. may increase to 400mg q4-6hr if needed. max 1200mg/day Analgesic–Adult: PO 200-400 milligram q4-6hr. soap 3. 2g/day ; OTC use max 1200mg/day Child: PO 4-10mg/kg/dose q6-8hr Moderate to severe hurting ( hospitalized ) ( caldolor ) – Adult: IV 400-800mg q6hr as an accessory to opioid-agonist therapy Antipyretic– Child 6mo-12yr: Polonium 5mg/kg ( temp. & lt ; 102. 5? F or 39. 2?C ) . 10mg/mg ( & gt ; 102. 5? ) . may reiterate q6-8hr. max 40 mg/kg/day Dysmenorrhea–Adult: PO 400mg q4hr. soap 1200mg/day

Anti-inflammatory– Adult: PO 400-800mg tid-qid. soap 3. 2mg/day Child: PO 30-40mg/kg/day in 3-4 divided doses. max 50mg/kg/day Patent ductus arteriosus ( PDA ) ( NeoProfen )Premature newborn & lt ; 32wk premature gestation who weighs 500-1500g: IV 10mg/kg ab initio. so. if needed. 2 doses of 5mg/kg at 24hr intervals ; if oliguria occurs. keep dose Normal Dose:Self Tx of minor aches/pains — Adult/adolescent: PO ( available OTC ) 200mg 44-6hr. may increase to 400mg q4-6hr if needed. max 1200mg/day Analgesic–Adult: PO 200-400 milligram q4-6hr. soap 3. 2g/day ; OTC use max 1200mg/day Child: PO 4-10mg/kg/dose q6-8hr Moderate to severe hurting ( hospitalized ) ( caldolor ) – Adult: IV 400-800mg q6hr as an accessory to opioid-agonist therapy Antipyretic– Child 6mo-12yr: Polonium 5mg/kg ( temp. & lt ; 102. 5? F or 39. 2?C ) . 10mg/mg ( & gt ; 102. 5? ) . may reiterate q6-8hr. max 40 mg/kg/day Dysmenorrhea–Adult: PO 400mg q4hr. soap 1200mg/day

Anti-inflammatory– Adult: PO 400-800mg tid-qid. soap 3. 2mg/day Child: PO 30-40mg/kg/day in 3-4 divided doses. max 50mg/kg/day Patent ductusarteriosus ( PDA ) ( NeoProfen )Premature newborn & lt ; 32wk premature gestation who weighs 500-1500g: IV 10mg/kg ab initio. so. if needed. 2 doses of 5mg/kg at 24hr intervals ; if oliguria occurs. keep dose

Generic Name: naproxenBrand Name ( s ) : Naprosyn| Pregnancy Category: C3rd trimester Cat-D| Route of Administration: PO| Normal Dosage: Anti-inflammatory/analgesic/antidysmenorrhealAdult: PO 250-500mg command. max 1250mg/day ; DEL REL 375-500mg bidChild & gt ; 2yr: PO 5-7mg/kg q8-12hrOTC Dose: Adult: PO 750mg. so 250mg q8-12hr or 440mg so 220mg q12hr ; max 660 mg/24hr taken & lt ; 10 days| Drug Category: NSAID. non-opioid analgesic| Indication: Tx redness & A ; pain| Side Effects: BBW – preoperative hurting in CABG surgeryBBW – MI. GI bleed. strokeDizziness. Drowsiness. N & A ; V. MI. shot. hepatitis. GI ulceration. GI bleed. GI perforation. Nephrotoxicity: dysuria. haematuria. oliguria. uremia. blood dyscrasias. anaphylaxis|

Nursing Considerations: Adm with nutrient to diminish GI disturbanceButtocks: •Pain: frequence. features. strength ; alleviation before and 1-2hr after adm •Arthritis: ROM. hurting. swelling before and 1-2hr after usage •Fever: earlier. 1hr after adm •Renal. hepatic. blood surveies: BUN. creatinine. AST. ALT. H/H. LDH. blood glucose. WBC. thrombocytes. CCr before Tx. sporadically thenceforth during long-run therapy •BBW: Gastrointestinal position: ulceration. hemorrhage. perforation ; may be fatal ; obtain stool guaiac •BBW: cardiac position: CV thrombotic events. MI. shot ; may be fatal ; non to be used in CABG. Alert: aspirin hypersensitivity or rhinal polyps. increased hazard of hypersensitivity Evaluate: Curative response: decreased hurting. stiffness. swelling in articulations ; ability to travel more easy Teach: •Use sunblock. radiosensitivity. •Report blurred vision. tintinnabulation or boom in ears ( may bespeak toxicity ) •Report Cx in urine form. weight addition. hydrops ( face. lower appendages ) . increased joint hurting. febrility. blood in piss ( indicates nephrotoxicity ) ; black stools. flulike symptoms•Therapeutic effects may take up to 1 minute. •Avoid ASA. intoxicant. steroids or other OTC medicines w/o prescriber blessing •Report usage to ALL wellness attention supplier •Avoid during gestation

Nursing Considerations: Adm with nutrient to diminish GI disturbanceButtocks: •Pain: frequence. features. strength ; alleviation before and 1-2hr after adm •Arthritis: ROM. hurting. swelling before and 1-2hr after usage •Fever: earlier. 1hr after adm •Renal. hepatic. blood surveies: BUN. creatinine. AST. ALT. H/H. LDH. blood glucose. WBC. thrombocytes. CCr before Tx. sporadically thenceforth during long-run therapy •BBW: Gastrointestinal position: ulceration. hemorrhage. perforation ; may be fatal ; obtain stool guaiac •BBW: cardiac position: CV thrombotic events. MI. shot ; may be fatal ; non to be used in CABG. Alert: aspirin hypersensitivity or rhinal polyps. increased hazard of hypersensitivity Evaluate: Curative response: decreased hurting. stiffness. swelling in articulations ; ability to travel more easy Teach: •Use sunblock. radiosensitivity. •Report blurred vision. tintinnabulation or boom in ears ( may bespeak toxicity ) •Report Cx in urine form. weight addition. hydrops ( face. lower appendages ) . increased joint hurting. febrility. blood in piss ( indicates nephrotoxicity ) ; black stools. flulike symptoms•Therapeutic effects may take up to 1 minute. •Avoid ASA. intoxicant. steroids or other OTC medicines w/o prescriber blessing •Report usage to ALL wellness attention supplier •Avoid during gestation

Generic Name: promethazineBrand Name ( s ) : Phenergan| Pregnancy Category: C| Route of Administration: PO. IM. IV. Rectally| Drug Category: antihistamine| Indication: antiemetic. Tx hyperemesis gravidarum| Drug Category: antihistamineNormal Dose: N & A ; VAdult: 12. 5-25mg q4-6hr prnChild: & gt ; 2yr 0. 25-0. 5 mg/kg q4-6hr prnHyperemesis gravidarum12. 5 – 25 milligram q4h| Side Effects: BBW – IV usage. newborns. babies & A ; kids – intraarterial/SUBCUT disposal. extravasationDizziness. sleepiness. neuroleptic malignant syndrome. irregularity. urinary keeping. thrombopenia. agranulosis. haemolytic anaemia. apnea in newborns. babies. immature children|

Nursing Considerations/Teachings/Interventions:Nursing Consideration: can do false positive on gestation trial

Assess- N & A ; V before & A ; after dosage. I & A ; O. CBC. LFT’s ( long-run ) .Resp position. Cardiac Status. NMS ( febrility. confusion. perspiration. musculus rigidness. elevated CPK. brain disorder. stop merchandise & A ; notify prescriber cheque for extravasation ( BBW ) : pain/swelling at IV site

Thatch: can do radiosensitivity so avoid over-exposure to sunlight. Notify prescriber of confusion. sedation. hypotension. icterus. febrility. hazard of heat shot d/t decreased perspiration. usage candy/gum/water to diminish dry oral cavity

Nursing Considerations/Teachings/Interventions:Nursing Consideration: can do false positive on gestation trial

Assess- N & A ; V before & A ; after dosage. I & A ; O. CBC. LFT’s ( long-run ) . Resp position. Cardiac Status. NMS ( febrility. confusion. perspiration. musculus rigidness. elevated CPK. brain disorder. stop merchandise & A ; notify prescriber cheque for extravasation ( BBW ) : pain/swelling at IV site

Thatch: can do radiosensitivity so avoid over-exposure to sunlight. Notify prescriber of confusion. sedation. hypotension. icterus. febrility. hazard of heat shot d/t decreased perspiration. usage candy/gum/water to diminish dry oral cavity

Generic Name: ketorolacBrand Name ( s ) : Toradol| Pregnancy Category: C| Route of Administration: PO. IM. IV| Normal Dose: Adult & gt ; 17 and & gt ; 50kg: PO continuance from IM/IV merely 20mg so 10mg q4-6hr prn. max 40 mg/dayAdult/adolescent & gt ; 17 year and & lt ; 50 kilogram: IM ( individual dosage ) 30-60mg. IV 15-30 milligram q6hr. max 60 mg/day x 5 yearss combined either PO/IM/IVAdminister: Not to transcend 5 yearss IM: inj deep in big musculus massIV: spring undiluted over & gt ; 15 sec| Drug Category: non-steroidal anti-inflammatory/ non-opioid analgesic| Indication: analgetic. anti-inflammatory| Side Effectss: BBW – Breastfeeding. terrible nephritic disease. L & A ; D. epidural. intrathecal adm. GI bleeding/ hypovolemiaBBW – kids. geriatric platinums. hemorrhage. MI. strokeDrowsiness. ictuss. CV thrombotic events. MI. shot. GI hemorrhage. perforation. hepatitis. hepatic failure. nephrotoxicity: dysuria. haematuria. oliguria. azotemiaBlood dyscrasias. atrophedema. Steven-Johnson Syndrome. toxic cuticular necrolysis|

Nursing Considerations/Teachings/Interventions:Assess-* Aspirin sensitiveness. asthma: patients may be more likely to develop hypersensitivity to NSAIDs: proctor for hypersensitivity * Pain: type. location. strength. ROM before and 1 hour after Tx * BBW – Renal. hepatic blood surveies: BUN. creatinine. AST. ALT. Hgb before Tx and sporadically thenceforth. Check for Dehydration. * BBW – shed blooding times. cheque for contusing. hemorrhage. supernatural blood in urine * ALERT…Hepatic disfunction: icterus. xanthous sclerotic coat and tegument. clay-colored stools * BBW – CV thombotic events: MI. shot

* Audiometric. ophthalmic test before. during and after Tx Evaluate: curative response. decreased hurting. stiffness. swelling in articulations. ability to travel more easy. Thatch: •Report blurred vision. ringing/roaring in ears ( may bespeak toxicity ) •Report Cx in piss. weight addition. hydrops. hurting additions in articulations. febrility. blood in piss ( indicates nephrotoxicity ) : bruising. black tarry stools ( indicates shed blooding ) •Avoid Datril and other NSAIDs. •Not to suckle!

Nursing Considerations/Teachings/Interventions:Assess-* Aspirin sensitiveness. asthma: patients may be more likely to develop hypersensitivity to NSAIDs: proctor for hypersensitivity * Pain: type. location. strength. ROM before and 1 hour after Tx * BBW – Renal. hepatic blood surveies: BUN. creatinine. AST. ALT. Hgb before Tx and sporadically thenceforth. Check for Dehydration. * BBW – shed blooding times. cheque for contusing. hemorrhage. supernatural blood in urine * ALERT…Hepatic disfunction: icterus. xanthous sclerotic coat and tegument. clay-colored stools * BBW – CV thombotic events: MI. shot

* Audiometric. ophthalmic test before. during and after Tx Evaluate: curative response. decreased hurting. stiffness. swelling in articulations. ability to travel more easy. Thatch: •Report blurred vision. ringing/roaring in ears ( may bespeak toxicity ) •Report Cx in piss. weight addition. hydrops. hurting additions in articulations. febrility. blood in piss ( indicates nephrotoxicity ) :bruising. black tarry stools ( indicates shed blooding ) •Avoid Datril and other NSAIDs. •Not to suckle!

Generic Name: OxytocinBrand Name ( s ) : Pitocin| Pregnancy Category: C| Route: IV/IM| Drug Category: Exogenous hormones| Indication: To induce/stimulate labour ; manage postpartum hemorrhage| Normal Dosage: Induce: Mixed in standard conc—10 units in 1000 milliliter of fluidBegin at 1 milliunit/min. ^ 1 to 2 milliunits/unit every 30-60 mins until labour is established so vPPH: 10-40units/L in standard conc at 125-200milliunits/min OR 10-20units IM| Nursing Considerations/Teachings/Interventions: PPH: Use if massage if fundus. look of coagulums in the womb and riddance of vesica distention doesn’t work continue supervising vaginal hemorrhage and uterine toneTEACH- Reason ; Effectss to anticipate: contractions will come regular and more oftenASSESSMENT- •Fetal q15mins & A ; with alteration in dosage during 1st phase of labour & A ; q5min during the 2nd phase of labour •q15min and with every alteration in dosage during forcing stage of the 2nd phase of labour monitor the contraction form and uterine resting tone • BP. P. R every alteration in dose •I & A ; O- bound IV consumption to 1000 milliliter in 8 hour ; urine end product should be 120 milliliter or more q4h •Observe emotional response|

Side Effectss: MATERNAL-vBP. uterine tachysystole. lacental breaking off. uterine rupture. unneeded cesarian birth due to FHR and form. postpartum bleeding. infectionFETAL- hypoxemia and acidosis– ensuing in unnatural FHR and patterns| Uterine Tachysystole with OxytocinSIGNSMore than 5 contractions in 10 mins OR A series of individual contractions enduring ?2 mins OR Contractions of normal continuance happening within 1 min of each otherINTERVENTIONS ( with normal ( reassuring ) FHR ) •Reposition or keep adult female in side-lying place •Adm IV bolus 500 milliliter LR •IF has non returned to normal after 10 mins. v by ? •IF has non returned to normal after another 10 mins. DC until & lt ; 5 contractions happening in 10 minutesINTERVENTIONS ( with abnormal ( nonreassuring ) FHR ) •DC stat •Reposition adult female in side-lying place •Adm IV bolus 500mL LR •IF non resolved FHR give O at 10L/min •IF no response. give 0. 25 mg terbutaline SQ harmonizing to unit protocol or standing orders •Notify primary wellness attention supplier of actions taken ad maternal and foetal responsesRESUMPTION OF OXYTOCIN AFTER RESOLUTION If DC less than 20-30 proceedingss. sketch at nor more than half the rate that caused itIf DC for more than 30-40 proceedingss. restart the initial start dose|

Generic Name: DolasetronBrand Name ( s ) : Anzemet| Drug Category: Antiemetic| Pregnancy Category: B| Route: IV. PO| Indication: Prevention of Postoperative Nausea & A ; Vomiting| Normal Dosage over 16 years old: Before surgery: Polonium 100mg within 2 hour ( soap. 100 mg/dose ) 15 min before surcease of anaesthesia: IV 12. 5 milligram ( soap. 12. 5 mg/dose ) | Ped’s Dosage Children 2 to 16 years old: Four 0. 35 mg/kg ( soap. 12. 5 mg/dose ) as a individual dosage every bit shortly as sickness and emesis nowadayss. | Common Side Effects•Mild Headache •tired experiencing •mild giddiness •N & A ; D •constipation •anorexia •chills/shivering •numbness or tingly feeling •fever •sweating •rash •joint or musculus hurting. | Life Threatening Side Effects •Hypersensitivity •Feeling like you may go through out •bradycardia •weak• pulse •bradypnea •swelling in your custodies or pess concern with thorax hurting and terrible giddiness. fainting. fast or thumping bosom beat •urinating less than usual or non at all. |

Nursing Considerations/Teachings/InterventionsMonitor •serum K and Mg degrees • right hypokalemia and hypomagnesemia prior to disposal and proctor during therapy as clinically indicated. •Use ECG monitoring in aged patients and patients with CHF. bradycardia. and nephritic damage. General Advice

* Dolasetron injection may be assorted with apple or apple-grape juice for unwritten disposal in kids. Use within 2 H of dilution. * Infuse IV every bit quickly as 30 sec or diluted in a compatible IV solution to 50 milliliters and infused over a period of up to 15 min. * Injection solution may be administered undiluted or may be diluted in a compatible IV solution to 50 milliliter. * Compatible IV fluids include sodium chloride 0. 9 % . dextrose 5 % . dextrose 5 % and Na chloride 0. 45 % . dextrose 5 % and Ringer’s lactate injection. and Ringer’s lactate injection and mannitol 10 % injection. * Do non blend dolasetron injection with other drugs.

* Flush extract line before and after disposal.* Inspect injection solution for particulate affair or stain before usage.

Nursing Considerations/Teachings/InterventionsMonitor •serum K and Mg degrees • right hypokalemia and hypomagnesemia prior to disposal and proctor during therapy as clinically indicated. •Use ECG monitoring in aged patients and patients with CHF. bradycardia. and nephritic damage. General Advice

* Dolasetron injection may be assorted with apple or apple-grape juice for unwritten disposal in kids. Use within 2 H of dilution. * Infuse IV every bit quickly as 30 sec or diluted in a compatible IV solution to 50 milliliters and infused over a period of up to 15 min. * Injection solution may be administered undiluted or may be diluted in a compatible IV solution to 50 milliliter. * Compatible IV fluids include sodium chloride 0. 9 % . dextrose 5 % . dextrose 5 % and Na chloride 0. 45 % . dextrose 5 % and Ringer’s lactate injection. and Ringer’s lactate injection and mannitol 10 % injection. * Do non blend dolasetron injection with other drugs.

* Flush extract line before and after disposal.* Inspect injection solution for particulate affair or stain before usage.

Generic Name: CarboprostBrand Name ( s ) : Hemabate| Drug CategoryOxytocics| Route: IM| Pregnancy Category: C| Indication: •Postpartum Hemorrhage •abortion ( by uterine contractions between the 13th and twentieth hebdomads of gestation. but may be given at other times for medical grounds. •often used when another method of abortion has non wholly emptied the womb. or when a complication of gestation would do the babe to be born excessively early to last. | Usual Adult Dose for Postpartum Bleeding: •Initial dosage: 250 microgram ( 1 milliliter ) deep IM-Clinical tests have reported that 73 % of instances responded to individual injections. -In some selected instances. multiple dosing at intervals of 15 to 90 proceedingss was reported to hold had a successful result. The entire dosage should non transcend 2 milligrams ( 8 doses or 8 milliliter ) . | Usual Adult Dose for Abortion: •Initial dosage: 250 microgram ( 1 milliliter ) IM with tuberculin syringe. – May be administered at 1. 5 to 3. 5 hr intervals depending on uterine response. -An optional trial dosage of 100 microgram ( 0. 4 milliliter ) may be administered ab initio. The dosage may be increased to 500 microgram ( 2 milliliter ) if uterine contractility is judged to be unequal after several doses of 250 microgram ( 1 milliliter ) . The entire dosage should non transcend 12 milligrams and uninterrupted disposal of the drug for more than 2 yearss is non recommended. |

Common Side Effects•Mild febrility that may come and travel •chills •numbness or tingly feeling •mild sickness or diarrhoea •cough •breast pain/tenderness •menstrual type hurting •ringing in your ears. | Life Threatening Side Effects•Hypersensitivity •severe pelvic hurting. cramping. or vaginal hemorrhage •high febrility •feeling faint or SOB terrible N. V. D. •increased blood force per unit area ( terrible concern. blurred vision. problem concentrating. chest hurting. numbness. ictus ) | Nursing Considerations/Teachings/Interventions: •Doseage amt of intervals determined by physician •Abortion induced by carboprost may be expected to be uncomplete in approximately 20 % of instances ( the same per centum as with self-generated abortions ) . •Fetus could exhibit transeunt marks of life following carboprost-induced abortion •If the gestation no terminated. complete abortion utilizing another method Buttocks: Hazard of cervical trauma– analyze each patient for cervical hurts after abortion is complete. Caution in patients with a compromised ( scarred ) womb. Contraindications •Fetus at feasible phase •hypersensitivity •Acute pelvic inflammatory disease •Active cardiac. pneumonic. nephritic. or hepatic disease. Warnings: Administer by qualified professional forces in a infirmary where intensive attention and surgical installations are instantly available. |

Generic Name: DexamethasoneBrand Name ( s ) : Baycadron. Dexamthasone. DexPak. Maxidex. Zema-Pak. Dexasol. Ozurdex| Drug CategoryGlucocorticoid. Corticosteriod| Pregnancy Category C| Route: IM| Normal Dosage 6 milligram IM q12h for 4 doses• A individual class of corticoids is recommended for pregnant adult females between 24 hebdomads and 34 hebdomads of gestation who are at hazard of preterm delivery•A individual class of prenatal corticoids should be administered to adult females with PROM before 32 hebdomads of gestation to cut down the hazards of respiratory hurt syndrome. perinatal mortality. and othermorbidities| Indication •prenatal intervention for the symptoms of inborn adrenal hyperplasia ( CAH ) in female foetuss •women at hazard of presenting prematurely to advance ripening of the fetus’ lungs. This has been associated with low birth weight. although non with increased rates of neonatal decease. |

Common Side Effects•Fluid Retention •^BP •Hyperglycemia •Hypernatremia •Hypokalemia •Hypocalcemia| Life Threatening Side Effects •Cardiac Arrest •thromboembolism •convulsions •hypersensitivity| Nursing Considerations/Teachings/Interventions: •The efficaciousness of corticoid usage at 32–33 accomplished hebdomads of gestation for preterm PROM is ill-defined based on available grounds. but intervention may be good. peculiarly if pneumonic immatureness is documented. Laboratory Test Interactions•^ piss glucose and serum cholesterin •v serum degrees of K. T 3 and T 4 •v consumption of thyroid 131-iodine •false-negative nitroblue-tetrazolium trial •altered encephalon scan consequences ; suppression of skin trial reactions. •False-negative consequences for the Decadron suppression trial may happen in patients having Indocin. •Fluid and electrolyte balance•Dietary salt limitation and K supplementation may be needed. |

Generic Name: Eythromycin Opthamalic Ointment 5mg/gBrand Name ( s ) : Erthromycin Ointment. Romycin| Drug CategoryMacrolide Antibiotic| Pregnancy CategoryB| Route: Ointment. PO | Indication •Treatment of superficial optic infections caused by strains of susceptible being ; •prophylaxis of neonatal pinkeye. | Normal Dosage depending on badness of infection for grownups and Children: 1 centimeter thread of unction placed in oculus up to 6 times daily| Conjunctivitis of the NewbornPO 50 mg/kg/day in 4 divided doses for at least 14 yearss. Prophylaxis of Neonatal Gonococcal or Chlamydia Conjunctivitis in Newborns Ophthalmic 1-cm thread of unction placed in each conjunctival pouch at clip of bringing. | Common Side EffectsEye stinging/burning/redness or impermanent blurred vision| Life Threatening Side Effects Hypersensitivity|

Nursing Considerations/Teachings/Interventions:Ophthalmic unction* For topical instillment in the oculus merely. Not for usage in the ear or on the tegument. * Wash custodies before and after transfusing unction. Have patient tilt caput backward or lie down and gaze upward. Gently pull down lower lid to organize a pouch. Topographic point prescribed sum of unction with a sweeping gesture inside the lower palpebra. Have patient near oculus ( s ) for 1 to 2 min and turn over the orb in all waies. Remove inordinate unction from around oculus with tissue. * If utilizing more than 1 ophthalmic unction. delay at least 10 min before transfusing 2nd drug. * Caution patient to avoid polluting ointment by non touching the tip of tubing to any surface and to replace cap after utilizing. * Advise patient that unction may do impermanent blurring of vision and to avoid activities necessitating ocular sharp-sightedness until film overing clears.

Use of this medicine for drawn-out or repeated periods may ensue in other types of oculus infections. including fungous infections. Stop utilizing this medicine and reach your physician if you notice new or declining oculus symptoms ( such as hurting. swelling. thick discharge or Pus ) .

Nursing Considerations/Teachings/Interventions:Ophthalmic unction* For topical instillment in the oculus merely. Not for usage in the ear or on the tegument. * Wash custodies before and after transfusing unction. Have patient tilt caput backward or lie down and gaze upward. Gently pull down lower lid to organize a pouch. Topographic point prescribed sum of unction with a sweeping gesture inside the lower palpebra. Have patient near oculus ( s ) for 1 to 2 min and turn over the orb in all waies. Remove inordinate unction from around oculus with tissue. * If utilizing more than 1 ophthalmic unction. delay at least 10 min before transfusing 2nd drug. * Caution patient to avoid polluting ointment by non touching the tip of tubing to any surface and to replace cap after utilizing. * Advise patient that unction may do impermanent blurring of vision and to avoid activities necessitating ocular sharp-sightedness until film overing clears.

Use of this medicine for drawn-out or repeated periods may ensue in other types of oculus infections. including fungous infections. Stop utilizing thismedicine and reach your physician if you notice new or declining oculus symptoms ( such as hurting. swelling. thick discharge or Pus ) .

Generic Name: SimethiconeBrand Name ( s ) : Mylicon. Bicarsim. Gas –X. Flatulex. Genasyme. Maalox. Phazyme| Drug CategoryAntiflatulent| Route of Administration: PO| Normal DosageCapsules: PO 125 milligram 4 times daily after repasts and at bedtimeTablets: PO 40-125 milligram 4 times day-to-day and at bed timeDrops: 40-80 milligram 4 times daily ( up to 500 mg/day ) | Ped’s Dosage •Children 2 – 12 yrs old: Drops PO 40 milligram 4 times daily•Children younger than 2 yrs old: Drops 20 milligram 4 times daily ( up to 240 mg/day ) | Indication-Relief of painful symptoms and force per unit area of extra gas in digestive piece of land ; adjunct in intervention of many conditions in which gas keeping may be job. such as postoperative gaseous dilatation and hurting. endoscopic scrutiny. air get downing. functional indigestion. peptic ulcer. spastic or cranky colon. diverticulosis. – Treatment of Infant colic|

Pregnancy CategoryNo formal assigned to a gestation class by the FDA. Briggs et. al provinces that simethicone is likely compatible with gestation. There are no controlled informations in human gestation. Simethicone is merely recommended for usage during gestation when benefit outweighs hazard. | Nursing Considerations/Teachings/InterventionsTeach patient about maximal dose allowance per twenty-four hours. | Side EffectsNone Well Documented|

Generic Name: Oxycodone Hydrochloride & A ; AsprinBrand Name ( s ) : Percodan| Drug CategoryOpioid Analgesic Combination| Pregnancy CategoryD| Route of Administration: PO| IndicationFor the alleviation of moderate to reasonably terrible hurting. | Common Side Effects•Euphoric •sleepiness •cold workout suits •blurred or loss of vision •constricted. pinpoint. or little students •double vision •cool picket skin| Life Threatening Side Effects Overdose symptoms: •extreme sleepiness •pinpoint students •N. V. D •confusion •ringing in your ears •cold or dank skin •muscle failing •fainting •weak pulse •bradycardia •coma •blue lips •shallow/absent breathing•Severe stomach hurting. irregularity. purging •black. bloody or tarry stools •coughing up blood or puke that looks like java evidences •weak or shallow take a breathing •fast or decelerate pulses •confusion. hallucinations. experiencing like you might go through out•easy bruising or hemorrhage •seizures •v hearing. pealing in your ears. |

Normal Dosage•1 tablet ( aspirin 325 mg/oxycodone 4. 5-0. 38 milligram or aspirin 325 mg/oxycodone 4. 8355 milligram ) •1 to 2 tablets ( aspirin 325 mg/oxycodone 2. 25-0. 198 milligram ) orally every 6 hours. | Ped’s Dosage •5 old ages or younger: Use is non indicated. •6 to 12 old ages: One-fourth of an aspirin-oxycodone 325 mg-2. 25 mg-0. 19 mg tablet every six hours. •12 old ages or older: One-half of an aspirin-oxycodone 325 mg-2. 25 mg-0. 19 mg tablet every six hours. | Nursing Considerations/Teachings/Interventions: Percodan may impair your thought or reactions. Avoid driving or runing machinery until you know how Percodan will impact you. Avoid taking acetaminophen ( Tylenol ) or an NSAID while you are taking Percodan. unless your physician Tells you to. NSAIDs include isobutylphenyl propionic acid ( Advil. Motrin ) . Torodal ( Toradol ) . Naprosyn ( Aleve. Naprosyn. Naprelan. Treximet ) . Celebrex ( Celebrex ) . diclofenac ( Arthrotec. Cambia. Cataflam. Voltaren. Flector Patch. Pennsaid. Solareze ) . Indocin ( Indocin ) . meloxicam ( Mobic ) . and others. Avoid imbibing intoxicant. It may increase your hazard of tummy shed blooding while taking acetylsalicylic acid. |

Generic Name: Ampicillin| Drug Category Bactericidal Penicillin| Pregnancy Category B| Route: IM ; IV: PO| Indication: •Bacterial Infx •Community acquired pneumonia •Endocarditis prophylaxis •Typhoid febrility. | Normal Dosage PO: 250-500 milligram PO q6h for infx ; IM/IV: 2g for edocarditis prophylaxis ; 1-2 g IV q 3h for bacterial meningitis| Ped’s Dose: ( & lt ; 7 yearss. & lt ; 2000g ) 50-100 mg/kg/day/2x ; ( & lt ; 7days. & gt ; 2000g ) 75-150 mg/kg/day/3x ; ( & gt ; 7 yearss. & gt ; 2000g ) 100-200 mg/kg/day/4x| Common Side Effectss: •NVD •Urticaria •Rash •Eosinophilia •Glossities •Stomatitis •Black hairy lingua •Candidiasis| Life Threatening Side Effectss: •Anaphylaxis •Hypersensitivity •Serum illness like rxn •Stevens Johnsons syndrome •Seizures|

Nursing Considerations/Teachings/InterventionsAssess •for contraindications• baseline caput to toe. •Examine tegument and mucose membranes. •Perform C & A ; S at the site of infx. •Note respiratory position. •Examine the venters to supervise for AEs. Evaluate •renal map trials including BUN and creatinine clearance to measure the demand for dosageaccommodation Nursing Considerations/Teachings/Interventions

Assess •for contraindications• baseline caput to toe. •Examine tegument and mucose membranes. •Perform C & A ; S at the site of infx. •Note respiratory position. •Examine the venters to supervise for AEs. Evaluate •renal map trials including BUN and creatinine clearance to measure the demand for dose accommodation

Generic Name: CefazolinBrand Name ( s ) : Ancef Brand dc’d in US| Drug Category: 1st Gen. Cephalosporine| Pregnancy Category B| Route: IM. IV| Indication: •Bacterial infx. •prophylaxis dental endocarditis •Community acquired pneumonia| Normal Dose: IM/IV: 250-500mg q4-q8h| Ped’s Dose: IM/IV: 25-50mg/kg/day in 3 or 4 divided doses. | Common Side Effectss: •NVD •Rash •abdominal hurting •anorexia •elevated ALT or AST •urticaria •thrombophlebitis. | Life Threatening Side Effectss: •Stevens Johnson Syndrome •Nephrotoxicity •Anaphylaxis|

Nursing Considerations/Teachings/Interventions:Teach •Ensure platinum takes full class. •Provide little frequent repasts as tolerated. •Provide oral cavity attention and ice french friess • Drink plentifulness of fluids and keep nutrition • Report trouble take a breathing. terrible diarrhoea. giddiness or failing. • Avoid devouring intoxicant while having Mefoxins and for at least 72 hours after finishing the drug class Safety safeguards •changing places easy •avoid driving and risky undertakings. if CNS effects occur Assess •Check civilization and sensitiveness studies. • nephritic map. • Injection sites. •Monitor for trouble external respiration. terrible diarrhoea. giddiness or failing. . Nursing Considerations/Teachings/Interventions:

Teach •Ensure platinum takes full class. •Provide little frequent repasts as tolerated. •Provide oral cavity attention and ice french friess • Drink plentifulness of fluids and keep nutrition • Report trouble take a breathing. terrible diarrhoea. giddiness or failing. • Avoid devouring intoxicant while having Mefoxins and for at least 72 hours after finishing the drug class Safety safeguards•changing places easy •avoid driving and risky undertakings. if CNS effects occur Assess •Check civilization and sensitiveness studies. • nephritic map. • Injection sites. •Monitor for trouble external respiration. terrible diarrhoea. giddiness or failing. .

Generic Name: ClindamycinBrand Name ( s ) : Cleocin| Drug Category: Lincosamide| Pregnancy Category B| Route: IM. IV| Indication: •Mild to severe bacterial infx. •acute otitis media. •acute bacterial sinusitis. | Normal Dose: PO:150-300mg q6h or 600-2700mg qd in 2 or 4 equal doses| Ped’s Dose: PO:8-25mg/kg/d IM/IV:15-40mg/kg/d in 3 to 4 divided doses| Common Side Effectss: •NVD •abdominal hurting •rash •pruritis •jaundice •urticaria •hypotension •thrombophlebitis| Life Threatening Side Effectss: •Anaphylaxis •Stevens Johnson Syndrome •Esophagitis| Nursing Considerations/Teachings/InterventionsTeach • guarantee platinum receives full courseAssess •C & A ; S •hepatic and nephritic map & A ; labs •ALERT: take extra safeguards that include careful monitoring of GI activity and fluid balance and halting the drug at the first mark of terrible or bloody diarrhea|

Generic Name: Gentamicin| Drug Category Aminoglycoside| Pregnancy Category D| Route: IM. IV| Indication: •Bacterial Infection. •Respiratory infx in cystic fibrosis pts| Normal Dose: 1-1. 7 mg/kg q8h| Ped’s Dose: ( & lt ; 8days. & lt ; 28wks gestation ) 2. 5 mg/kg q24h ; ( & lt ; 8 yearss old. 28-29wk gestation ) 2. 5mg/kg q18h ; | Common Side Effectss: •Elevated BUN or Cr •Dizziness •Vertigo •Tinnitus •Hearing loss •Injection site rxn| Life Threatening Side Effectss: •Nephrotoxicity •Stevens Johnson Syndrome| Nursing Considerations/Teachings/InterventionsTeach •Ensure platinum receives full class •Change place easy •avoid drive and risky undertakings •drink plentifulness of fluids and keep nutrition •avoid exposure to other infx •report instantly any trouble external respiration. terrible concern. loss of hearing. pealing in ears. or alterations in urine end product. Assess •for contraindications. •Assess baseline before adm •Monitor platinum throughout full class for marks of nephrotoxicty. neurotoxicity. and bone marrow suppression. •Ensure platinum is hydrated at all times. |

Generic Name: Vitamin KBrand Name ( s ) : Phytonadine| Drug Category Coagulation Factors| Pregnancy Category C| Route: SC ; IM ; IV| Indication: •Hyperprothrominemia. •Neonatal Hemorrhagic disease prophylaxis. •Antidote for Warfarin | Ped’s DosageNeonatal 0. 5-1mg administer w/n one hr of birth may reiterate in 6 – 8 hour if necessary. | Common Side Effects •Taste alterations •Flushing •Injection site haematoma •Injection site pain| Life Threatening Side Effects Black box warning Severe rxns with IV usage including decease has occurred. Chemical reactions resemble hypersensitivity or anaphylaxis. Restrict IV path to instances where other paths are non executable. •Anticoagulant opposition •Hypersensitivity •Anaphylaxis •Hyperbilirubinemia •Hemolytic anemia| Nursing Considerations/Teachings/Interventions •Educate patients to the fact that vitamin K is given as a contraceptive for neonatal bleeding desease. |

Generic Name: Morphine SulfateBrand Name ( s ) : Astramorph PF. Avinza. Depo Dur. Infumorph PF. Kadian. MS Contin. Oramorph SR| Drug Category: Opioid analgesic| Pregnancy Category: C| Route: PO/SQ/IM/IV| Normal Dosage: SQ/IM: 5-10mg q4hr PO: 10-30mg q4hr IV: 2. 5-15mg diluted in 4-5mL water| Ped’s Dose: SQ/IV: 0. 05-0. 2 mg/kg. max 15 milligram PO: 0. 2-0. 5 mg/kg q4-6hr| Indication: Moderate to severe pain|

Common Side Effects: •Drowsiness •dizziness •confusion •headache •sedation •palpitations •nausea •vomiting •anorexia •constipation •cramps •urinary keeping | Life Threatening Side Effectss: •Seizures •bradycardia •shock •cardiac arrest •tachycardia •thrombocytopenia •respiratory depression •respiratory apprehension •apnea |

Nursing Considerations/Teachings/Interventions: Assess •bowel signs/constipation- to see if demand for laxative• marks of respiratory depression Teach • Change place easy: orthostatichypotension could happen Black box warning: Abrupt discontinuance: bit by bit taper to forestall backdown symptoms Black box warning: Accidental exposure: if duramorph or infumorph gets on tegument. take contaminated vesture. rinse affected country with H2O Treatment of overdose: Naloxone ( Narcan ) : 0. 2-0. 8mg IV. O2. IV fluids. vasopressors Nursing Considerations/Teachings/Interventions: Assess •bowel signs/constipation- to see if demand for laxative• marks of respiratory depression Teach • Change place easy: orthostatic hypotension could happen Black box warning: Abrupt discontinuance: bit by bit taper to forestall backdown symptoms Black box warning: Accidental exposure: if duramorph or infumorph gets on tegument. take contaminated vesture. rinse affected country with H2O Treatment of overdose: Naloxone ( Narcan ) : 0. 2-0. 8mg IV. O2. IV fluids. vasopressors

Generic Name: NalbuphineBrand Name ( s ) : Nubain| Drug Category: Opioid analgesic| Pregnancy Category: C| Route: IM/IV| Normal Dosage: 5-10mg IV q3hrs prn 10-20mg IM q3-4hrs prn| Indication: Moderate to severe labour hurting and postoperative hurting after cesarian birth| Common Side Effectss: •Confusion •sedation •hallucinations. “floating” experiencing •headache •dizziness •nervousness •sweating •palpitations •tachycardia •bradycardia •transient nonpathologic sinusoidal-like FHR •N/V •Dysuria | Life Threatening Side Effectss: •Cardiac apprehension •respiratory depression | Nursing Considerations/Teachings/Interventions: Assess •VS. trouble scale and uterine activity before and after disposal • palpate for vesica dilatation •Observe for respiratory depression – notify supplier is respiration are less than 12per/min • If birth occurs 1-4hrs after dosage. observe newborn forrespiratory depression •Encourage invalidating every 2 hour. •Use side tracks and aid with ambulation May precipitate backdown symptoms in opioid-dependent adult females and their neonates Avoid usage with MAOIs – unpredictable reaction may happen |

Generic Name: NaloxoneBrand Name ( s ) : Narcan| Drug Category: Opioid adversary. antidote| Pregnancy Category: C| Route: IV/IM/SQ| Indication: •Reverses opioid-induced respiratory depression in adult female or newborn ; •may be used to change by reversal pruritus from extradural opioids| Normal Dosage: Opioid overdose: 0. 4-2mg IV. may reiterate IV at 2-3min intervals up to 10mg. can utilize IM if IV unavailable Postoperative opioid depression: Initial dose 0. 1-0. 2mg IV at 2-3min intervals up to 3 doses until coveted grade of reversal obtained. may reiterate in 1-2 hour if needed| Ped’s Dosage IV/IM/SQ: Initial dosage is 0. 1mg/kg. may be repeated at 2-3min intervals up to 3 doses until coveted grade of reversal obtained| Common Side Effectss: •N/V •sweating •hypo/hypertension •drowsiness •hyperventilation| Life Threatening Side Effectss: •Seizures •ventricular tachycardia •sinus tachycardia •fibrillation •cardiac apprehension •hepatotoxicity •pulmonary hydrops |

Nursing Considerations/Teachings/Interventions: •Do no spring to adult females or newborn if the adult female is opioid dependent- may do disconnected backdown in the adult female and newborn •If given to a adult female for reversal of respiratory depression caused by opioid analgetic. hurting will return all of a sudden Teach •Women should detain suckling until medicine is out of her system If given to a adult females for reversal of respiratory depression caused by opioid analgetic. hurting will return all of a sudden Nursing Considerations/Teachings/Interventions: •Do nogive to adult females or newborn if the adult female is opioid dependent- may do disconnected backdown in the adult female and newborn •If given to a adult female for reversal of respiratory depression caused by opioid analgetic. hurting will return all of a sudden Teach •Women should detain suckling until medicine is out of her system If given to a adult females for reversal of respiratory depression caused by opioid analgetic. hurting will return all of a sudden

Generic Name: SimethiconeBrand Name ( s ) : Equaline Extra. Strength Gas Relief. Gas-Relief. Gas-X. Mylanta Gas. Mylicon. Phazyma| Drug Category: Antiflatulent| Pregnancy Category: C| Route: PO| Indication: Flatulence| Common Side Effectss: •Belching •rectal fart •diarrhea| Normal Dosage: Polonium: 40-125mg soap 500 mg/day | Ped’s Dosage PO: under 2: 20mg qid prnPO: 2-12yrs: 40-50mg soap 240 mg/day | Nursing Considerations/Teachings/Interventions: Teach • after repasts and at bedtime prn • Tablets must be chewed and suspension must be shook before pouringAssess for reduced intestine sounds Evaluate curative response: decrease of abdominal gas. uncomfortableness |

Generic Name: Magnesium SulfateBrand Name ( s ) : Epson salts | Drug Category: IV – high qui vive. electrolyte| Pregnancy Category: B| Route: IM/IV| Indication: • Pre-eclampsia/eclampisa •PPHN •premature labour •magnesium deficiency| Normal Dose: pre-eclampsia/eclampisa: 4-5 g IV ; with 5 g IM in each gluteal muscle. so 5g q4hr or 4 g IV inf. so cont inf. max 40g/day Premature labour: IV 4- 6g in 30min so 2-4g/hr until contractions stop | Ped’s Dosage Persistant pneumonic high blood pressure of the newborn ( PPHN ) in automatically ventilated newborns: 33wks to term: IV 20-150 mg/kg/hr to keep blood Mg levels| Common Side Effectss: •N. V. D •anorexia •cramps •electrolyte instability •flushing •sweating •confusion •hypotension •hypothermia | Life Threatening Side Effectss: •Flaccid palsy •circulatory prostration | Nursing Considerations/Teachings/Interventions: Eclampsia: ictus safeguards. BP. EKG Magnesium toxicity: thirst. confusion. lessening in physiological reactions. I & A ; O ratio. cheque for lessening urinary output|

Generic Name: ScopolamineBrand Name ( s ) : Maldemar. Scopace. Transderm| Drug Category: Cholinergic blocker. antiemetic| Pregnancy Category: C| Route of Administration: Spot: gesture sicknessSQ: sickness and purging | Indication: N/V| Normal Dosage: One spot SQ: 0. 6-1 milligram | Ped’s Dosage SQ: 0. 006mg/kg ; max 0. 3mg/dose| Common Side Effects: •Confusion •sedation •headache •fatigue •weakness •postural hypotension •dryness of mouth •constipation •suppression of suckling | Life Threatening Side Effectss: •Paralytic intestinal obstruction | Nursing Considerations/Teachings/Interventions: •I & A ; O ration: keeping normally causes reduced urinary end product Teach •Constipation: addition fluids • Hard confect. frequent drinks. sugarless gum to alleviate dry oral cavity •Do non halt suddenly •Avoid drive or other risky activities because sleepiness may happen • If blurred vision. terrible giddiness. sleepiness occurs. discontinue usage and usage another type of antiemetic|

Generic Name: docusate sodiumBrand Name ( s ) : Colace| Drug Category: surfactants| Pregnancy Category: C| Route of Administration: PO. PR| Indication: stool soften: constipation| Common Side Effectss: Abdominal cramping| Normal Dosage: Ages 12 & A ; up: 50-300mg PO daily ; PR enema 1bottle individual dosage. | Ped’s Dose: Ages 2-12: 20-150 milligrams PO daily as individual dose| Nursing Considerations/Teachings/Interventions•Risk for dependance on laxatives •for those who shouldn’t strainTeach- •nutrition •Increase fluid consumption •exercise|

Generic Name: misoprostolBrand name: Cytotec| Drug Category: Prostaglandin E1 analogues| Pregnancy Category: X| Route of Administration: Intravaginally| Dosage:25 mcg q3-6h up to 6 in a 24 hr period or until ripened cervix| Indication: Ripens the neck doing it softer and doing it to get down to dialate and obliterate it: stimulation if uterine contractions| Side Effectss: With higher doses ( e. g. 50mcg q6h ) are more likely to do SE: •N. V. D •fever •uterine systole •fetal transition of meconium| Black Box Warning: Miscarriage-often life endangering shed blooding Do non utilize while pregnant Do non breast provender while on medication***| Nursing Considerations/Teachings/InterventionsInterventions •Informed consent •Antidote 0. 25 milligram of SQ terbutaline if inauspicious reactions• Void prior to insertion • ballad side-lying for 30-40min after insertion- remove extra medicine with NS soaked gauze wrapped around finger •If maturing but non labour has occurred—prepare to adm Pitocin ( no less so 4h after last dosage ) Assess before and after each dose- •VS •FHR & A ; pattern •Bishop score •status of labour CAUTION: Hx of asthma. glaucoma. nephritic. hepatic. or CV disorders|

Generic Name: misoprostolBrand name: Cytotec| Drug Category: Prostaglandin E1 analogues| Pregnancy Category: X| Route of Administration: PR| Dosage:800-1000 mcg rectally one time | Indication: Management of postpartum bleeding ; contraction of the uterus lessenings bleeding| Common Side Effectss: •Headache •N. V. D| Black Box Warning: Miscarriage-often life endangering shed blooding Do non utilize while pregnant Do non breast provender while on medication***| Nursing Considerations/Teachings/Interventions•Contradicted with patient with Hx of prostaglandins allergy•Continue to supervise vaginal hemorrhage and uterine tone|

Generic Name: Terbutaline Brand Name: Brethine| Drug Category: Tocolytic ( Beta2 agonist ) | Pregnancy Category: B| Route/DosageSQ-give indeltoid0. 25 mg q4h no longer than 24h District of Columbia if unbearable inauspicious reactions| Indication: Relaxes smooth musculuss. suppressing uterine activity and doing bronchodilation •to prevent preterm labor| Common Side Effectss: MATERNAL: •tachycardia •chest uncomfortableness •palpations •tremors •dizziness •headache •N/V •nasal congestion •hypokalemia •hyperglycemia •hypotension | Life Threatening Side Effectss: MATERNAL: •HR & gt ; 130bmp •BP & lt ; 90/60 •chest hurting •cardiac arrhythmias •MI •pulmonary edema FETAL: •HR & gt ; 180bpm •hyperinsulinemia. •hyperglycemia | Nursing Considerations/Teachings/Interventions

•Only for usage in Preterm labour & gt ; 20wk and & lt ; 35wksContradictions: •hx of ( pre ) gestational diabetes •gestational HTN • ( pre ) eclampsia •hyperthyroidism •migraine concerns •significant bleeding Buttocks: Before and after •BP. P. FHR. •maternal glucose & A ; K+ degrees Monitor for marks of pneumonic hydrops ( dyspnoea. cracklings. vO2 ) . Interventions: •Notify physical of glucose & gt ; 180 and K+ & lt ; 2. 5 mEq/L and other life endangering reactions. •Antidote: Ensure propranolol ( Inderal ) is available for inauspicious cardiovascular reactions. Nursing Considerations/Teachings/Interventions

•Only for usage in Preterm labour & gt ; 20wk and & lt ; 35wksContradictions: •hx of ( pre ) gestational diabetes •gestational HTN • ( pre ) eclampsia •hyperthyroidism •migraine concerns •significant bleeding Buttocks: Before and after •BP. P. FHR. •maternal glucose & A ; K+ degrees Monitor for marks of pneumonic hydrops ( dyspnoea. cracklings. vO2 ) . Interventions: •Notify physical of glucose & gt ; 180 and K+ & lt ; 2. 5 mEq/L and other life endangering reactions. •Antidote: Ensure propranolol ( Inderal ) is available for inauspicious cardiovascular reactions.

Generic Name: Methylergonovine maleateBrand Name ( s ) : Methergine| Drug Category: Ergot alkaloids| Pregnancy Category: C| Route: IM. IVTablet| Indication: To prevent/treat postnatal bleeding caused by uterine atonicity or subinvolution ( shorting 3rd phase labour & A ; v blood loss ) . | Normal Dosage:0. 2 mg IM q2-4h soap of 5 doses ; For inordinate bleeding- 0. 2 mg IV in 1 minute ; after first IM/IV dose- 0. 2mg PO q6-8h for 2-7 yearss ( DC if terriblecramping occurs ) | Common Side Effectss: •Dizziness •headaches •HTN •dyspnea •N/V| Life Threatening Side Effectss: •Seizures •stroke| Nursing Considerations/Teachings/Interventions•Given if no response to steadfast massage of fundus or oxytocin Contradiction: •HTN •cardiac disease• Do non give if BP & gt ; 140/90Assess: •BP/P •uterine response ( particularly with IV path ) •uterine tone. features & A ; sum of vaginal shed blooding •contractions- may go on for 45mins with IV and for 3hrs with PO/IM|

Generic Name: medroxyPROGESTERoneBrand Name ( s ) : Depo-Provera. Provera| Pregnancy Category X| Drug Category- Antineoplastic ; endocrine ; preventive ( Progesterone derived function ) | Route of Administration: IM. SQ. PO- continuance 24hrs ; excreted in urine & A ; feces| Normal Dose: ?2° amenorrh. ; ERT ; uter. bleeding- PO 5-10 mg/day ?Endometrial/renal CA- IM 400mg – 1mg q1wk ?Contraceptive- IM 150mg q12wk ; SQ-104mg q3mo | Indication- ?Abnormal uterine hemorrhage ; ?2° amenorrhea ; ?contraceptive ; ?endometrial alteration assoc. w/ estrogen replacing therapy ( ERT ) ; ?metastatic endometrial/renal ca| Common Side Effects- ?Nausea ?Gynecomastia ?Testicular wasting ?Impotence ?Hyperglycemia ?Dizziness ?HA| Life Threatening Side Effects •Hypersensitivity •angioedema •spontaneous abortion •stroke •PE •MI •thromboembolism •cholestatic icterus Black Box Warnings Breast CA. MI. Stroke. Thromboembolic disease. Thrombophlebitis. Cardiac Disease. Dementia. & A ; Osteoporosis|

Nursing Considerations/Teachings/Interventions- Assess: ?daily weight. notify PCP of hebdomadal addition of & gt ; 5 pound ; ?bone mineral denseness ; ?BP at beginning of intervention and sporadically ; ?I & A ; O ratio. ticker for hydrops and v urine end product ; ?mental position ; ?liver surveies and jaundice Administration: ?Rotate IM sites ; ?Oil solution deep in big musculus mass ; ?Give PO w/ nutrient or milk to v GI symptoms ; ?Use lowest effectual dosageTeaching: ?Teach platinum to avoid sunlight d/t radiosensitivity ; ?To study suspected gestation ; ?To describe chest balls. hydrops. icterus. HA. dyspnoea. chest hurting. blurred vision. etc… Evaluate Therapeutic Response: ?v unnatural uterine hemorrhage. ?absence of amenorrhea Nursing Considerations/Teachings/Interventions- Assess: ?daily weight. notify PCP of hebdomadal addition of & gt ; 5 pound ; ?bone mineral denseness ; ?BP at beginning of intervention and sporadically ; ?I & A ; O ratio. ticker for hydrops and v urine end product ; ?mental position ; ?liver surveies and jaundice Administration: ?Rotate IM sites ; ?Oil solution deep in big musculus mass ; ?Give PO w/ nutrient or milk to v GI symptoms ; ?Use lowest effectual dosage Teaching: ?Teach platinum to avoid sunlight d/t radiosensitivity ; ?To study suspected gestation ; ?To describe chest balls. hydrops. icterus. HA. dyspnoea. chest hurting. blurred vision. etc… Evaluate Therapeutic Response: ?v unnatural uterine hemorrhage. ?absence of amenorrhoea

Generic Name: Calcium Gluconate ( ca salt ) | Pregnancy Category C| Drug Category- Electrolyte replacement–calcium merchandise ( salt ) | Route of Administration PO- oncoming. extremum. continuance unknown. soaking up from GI tract IV- oncoming immediate. continuance ? -2hr| Normal Dosage PO – 0. 5-2g bid-qid IV – 0. 5-2g at 0. 5mL/min ( 10 % solution ) Max dose 3g | Ped’s Dosage PO/IV- 500mg/kg/day in divided doses| Indication- Prevention/Tx of ?Hypocalcemia ?Lead colic ?Hypermagnesemia ?Hypoparathyroidism ?Neonatal tetanilla ?Cardiac toxicity from hyperkalemia ?Vit D lack ?Ca adversary ( channel blocker ) toxicity ?Hyperphosphatemia ?Osteoporosis prophylaxis| Common Side Effects ?N/V ?HA ?Muscle failing ?Polyuria ?Thirst ?Burning at IV site ?Extravasation ?Lethargy ?Hypotension ?Bradycardia ?Constipation ?Severe venous thrombosis | Life Threatening Side Effects ?Shortened QT ?Heart Block ?Dysrhythmias ?Cardiac apprehension ( IV ) ?Coma| Nursing Considerations/Teachings/Interventions Assess: ?ECG for v QT and T wave inversion ?Calcium degrees during Texas ?Cardiac position ?Hypocalcemia Provide: Seizure safeguards Evaluate: Curative response: ?vtwitching ; paresthesias ; musculus spasms ?absence of shudders. ictuss. dyspnoea. dysrhythmias. and laryngospasm ?negative Trousseau’s mark. ?negative Chvostek’s mark. Thatch: ?Pt to add nutrients high in Vitamin. D

?Pt to add calcium-rich nutrients to diet ( dairy. shellfish. dark green leafy vegetables ) ?Pt to v oxalate- and zinc- rich nutrients from diet ( nuts. leguminous plants. cocoa. Spinacia oleracea. soy ) ?Pt to forestall hurts ; ?Pt to avoid immobilisation Nursing Considerations/Teachings/Interventions Assess: ?ECG for v QT and T wave inversion ?Calcium degrees during Texas ?Cardiac position ?Hypocalcemia Provide: Seizure safeguards Evaluate: Curative response: ?vtwitching ; paresthesias ; musculus spasms ?absence of shudders. ictuss. dyspnoea. dysrhythmias. and laryngospasm ?negative Trousseau’s mark. ?negative Chvostek’s mark. Thatch: ?Pt to add nutrients high in Vitamin. D ?Pt to add calcium-rich nutrients to diet ( dairy. shellfish. dark green leafy vegetables ) ?Pt to v oxalate- and zinc- rich nutrients from diet ( nuts. leguminous plants. cocoa. Spinacia oleracea. soy ) ?Pt to forestall hurts ; ?Pt to avoid immobilisation

Generic Name: hydrOXYzineBrand Name ( s ) : ANX ; Vistaril ; Atarax| Pregnancy Category C ( 2nd/3rd trimester ) | Drug Category Antianxiety/antihistamine/ sedative/hypnotic ; antiemetic| Indications ?pre-op anxiousness ; ?post-op sickness ; ?to potentiate opioid anodynes ; ?vomiting ; ?sedation ; ?pruritus ; ?ethanol withdrawal | Normal Dosage Alcohol w/drawal- IM 20-100mg q4-6hr Anxiety- PO 50-100 milligram qid ( max 600mg/day ) ; IM 50-100mg q4-6hr Insomnia ( unlabelled ) -PO 50-100mg 30-60min before bedtime ; IM 50mg 30-60min before bedtime Pre & A ; Post-op N/V- IM 25-100mg q4-6hr Pruritus- PO 25mgtid-qid. preferable path ; IM 50-100mg so q4-6 hour prn Renal dose- PO CCr & lt ; 50mL/min. give 50 % of dose| Ped’s Dosage Anxiety & lt ; 6 yrs- PO 50 mg/day in divided doses Anxiety & gt ; 6 yrs- PO 50-100mg/day in divided doses Pre & A ; Post-op N/V- IM 1. 1mg/kg as a individual dosage Pruritus & lt ; 6yrs- PO 50mg/day in divided doses Pruritus ?6 yrs- PO 50-100mg/day in divided doses ; IM 0. 5-1mg/kg/dose q4-6hr prn – Use PO when possible |

Path of Administration: ?IM ( z-track ) ?PO- onset 15-60min ; continuance 4-6 hour ; half-life 3 hour ; metabolized by liver ; excreted by kidneys | Common Side Effects ?Dizziness ?Drowsiness ?Hypotension ?Dry oral cavity ?^ Appetite ?N & A ; D ?Weight addition ?Confusion ?HA ?Fatigue ?Depression ?Tremors | Life Threatening Side Effects ?Seizures Tx of Overdose: Lavage if orally ingested ; VS ; supportive attention ; IV noradrenaline for hypotension | Nursing Considerations/Teachings/Interventions- Caution: closed-angle glaucoma. COPD. renal/hepatic disease. asthma Contradictions: Insomnia ; allergic coryza ; and generalized anxiousness upset ( GAD ) Buttocks: ?P/BP ( lying. standing ) if systolic BP bead 20mmHg. keep merchandise. notify prescriber ?Mental position: temper. sensorium. affect. anxiousness. behaviour. increased sedation Provide/Perform: Aid w/ ambulation during get downing therapy. sleepiness & A ; giddiness may happen Evaluate: Curative response: decreased anxiousness Thatch: ?Medication is non to be used for mundane emphasis or for & gt ; 4 months ; ?Avoid OTC Master of Educations ( cold. cough. hay febrility ) unless approved by prescriber ; ?Avoid drive ; ?Avoid intoxicant & A ; psychotropic Master of Educations ; ?Not to stop medicine rapidly after long-run usage ; ?To lift easy b/c fainting may occur|

Generic Name: ButorphanolBrand Name ( s ) : Stadol| Pregnancy Category: C | Drug Category: Opioid anodyne ( Mixed opioid adversary. partial agonist ) |Path of Administration: IV- Onset 1 min. Top out 4-5 min. Duration 2-4 hour ; deeply in big musculus mass Intranasal- Onset w/in 15 min. Top out 1-2 hour. Duration 4-5 hour IM- Onset 5-15min. Peak 30-60 min. Duration 2-4 hr| Normal Dosage: Mod. -Severe Pain- IM 1-4mg q3hr ; IV 0. 5-2mg q3-4hr prn ; Intranasal 1 spray in 1 anterior nariss. may give another dose 1-1 ? hour subsequently repetition if needed 3-4hr after last dosage Opioid–induced Pruritus ( unlabeled ) – Intranasal 1mg ( 1 spray ) in each nostril q4-6hr Intractable pruritus w/ inflamm. tegument or systemic disease ( unlabelled ) – Intranasal 1-4mg/day | Indication: Moderate to severe hurting. general. anesthesia induction/maintenance. concern. megrim. pre-anesthesia contradictions. Pruritus | Common Side Effectss: ?Drowsiness ?Dizziness ?Confusion ?HA ?Sedation ?Euphoria ?Weakness ?Hallucinations ?N/V ?Anorexia ?Constipation ?Cramps| Life Threatening Side Effectss: ?Respiratory depression ?Severe. fatal rxn’s to MAOI’s Treatment for Overdose: ?Naloxone HCl ( Narcan ) 0. 2-0. 8mg IV ?O2 ?IV fluids ?Vasopressors|

Nursing Considerations/Teachings/Interventions- Assess- ?For vfluid end product ( may bespeak urinary keeping ) ?For w/drawal s/sx in opioid-dependent platinums ?PE. Vascular occlusion. abscesses. ulcerations ? CNS alterations ( ex. LOC. Pupil reaction. etc… ) ?Allergic Rxn’s: roseola. urticaria ?Resp. Dysfunction: resp. depression. character. rate. beat. if & lt ; 10/min. advise physician ?Need for hurting medicine. physical dependance Provide/Perform: Safety steps: ?nightlight. ?call-bell w/in easy range. ?assistance w/ ambulation Evaluate: Curative response- v hurting

Thatch: ?To study any symptoms of CNS alterations. allergic rxn’s ; ?Physical dependence may ensue when used for drawn-out periods ; ?W/drawal symptoms may happen: N/V. spasms. febrility. faintness. anorexia Nursing Considerations/Teachings/Interventions- Assess- ?For vfluidend product ( may bespeak urinary keeping ) ?For w/drawal s/sx in opioid-dependent platinums ?PE. Vascular occlusion. abscesses. ulcerations ? CNS alterations ( ex. LOC. Pupil reaction. etc… ) ?Allergic Rxn’s: roseola. urticaria ?Resp. Dysfunction: resp. depression. character. rate. beat. if & lt ; 10/min. advise physician ?Need for hurting medicine. physical dependance Provide/Perform: Safety steps: ?nightlight. ?call-bell w/in easy range. ?assistance w/ ambulation Evaluate: Curative response- v hurting

Thatch: ?To study any symptoms of CNS alterations. allergic rxn’s ; ?Physical dependence may ensue when used for drawn-out periods ; ?W/drawal symptoms may happen: N/V. spasms. febrility. faintness. anorexia

Generic Name: CodeineBrand Name ( s ) : Paveral| Pregnancy Category: C| Drug Category: Opiate anodyne. Antitussive| Indication: Moderate to severe pain|RouteIM- Onset 10-30min PO- Onset 30-60min SQ- IV- Give easy by direct inj. | Normal Dose: Pain- PO/IM/SQ 15-60mg q4hr prn Cough- PO 10-20mg q4-6hr. max 120 mg/day Diarrhea ( unlabeled ) – PO 30mg ; may reiterate qid prn Pain ( bone. back. alveolar consonant ) . arthralgia. megrim. myodynia. HA- PO/IM/SQ 15-60mg q4-6hr| Ped’s Dose: Pain 6-17yr: Polonium 3mg/kg/day in divided doses q4hr prn Pain ( bone. back. alveolar consonant ) . megrim. arthralgia. HA. myalgia- ?3 yrs- IM/SQ 0. 5-1 mg/kg or 15mg/m2 ( max 60 mg/dose ) q4-6hr| Common Side Effectss: ?Drowsiness ?CNS Depression ?N/V ?Anorexia ?Constipation ?Flushing ?Dizziness ?Rash ?Pruritus ?Sedation| Life Threatening Side Effectss: ?Seizures ?Circulatory Collapse ?Respiratory Depression ?Respiratory Paralysis ?Anaphylaxis ?Neuroleptic Malignant Syndrome BLACK BOX Warning: ?Myocarditis ?Bone Marrow Depression ?Hypotension| Nursing Considerations/Teachings/Interventions:Contradictions: D. HA. arthralgia. bone/dental hurting. megrim. myodynia. nonproductive cough Buttocks: ?Myocarditis ( most normally occurs during 1st month of usage ) . if suspected. D/C ?Seizures ( normally occur w/ higher doses ) ?I & amp ; O ratio ( palpate vesica if low urinary end product occurs ) ?Bone Marrow Depression ( hematoidin. CBC. LFTs monthly ) ?Orthostatic Hypotension ?Dizziness. faintness. tactual expl

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Ob Nursing Drug Cards. (2016, Nov 15). Retrieved from https://graduateway.com/ob-nursing-drug-cards-essay/

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