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Mother baby pharm
Pharm test 1
| Term | Definition |
|---|---|
| Folic Acid | B Vitamin that helps to prevent neural birth defects of the brain and spine |
| Folic Acid Dosage | 400 mcg daily for the first 12 weeks of pregnancy. |
| When might someone have a higher dose of folic acid? | Women who have had an infant with a neural defect. |
| Folic Acid Adverse Effects: | Usually none but may complain of loss of appetite. |
| Folic Acid Interactions: | Avoid green tea because it can decrease bioavailability of folic acid. |
| Folic Acid Nursing Interventions and Patient Education should include: | Importance of taking drug daily If a woman is planning/trying to get pregnant start taking folic acid Hispanic and Latina women have low levels of folic acid Encourage increase folic acid in diet If currently breast feeding they may need a higher dose |
| Foods high in folic acid: | Asparagus Broccoli Spinach Eggs Deep green leafy veggies Eggs Peas Beans |
| When are Rubella titers done? | Done on all women when they begin pre-natal care |
| Why must a woman wait to get a MMR vaccine? | Since it is a live virus it can cause fetal demise. |
| When can a woman receive a MMR vaccine? | When she is not pregnant. |
| When is Rhogam given? | Given to Rh negative mom to prevent Rh incompatibility to protect Rh positive baby. |
| How is Rhogam administered? | IM injection in the deltoid muscle |
| When can Rhogam be administered? | 26-28 weeks of pregnancy 72 hours after delivery After an abortion After an amniocentesis After abdominal trauma Any bleeding during pregnancy |
| Rhogam Adverse Effects: | Drowsiness Pain at injection site Fever |
| Rhogam Nursing Interventions/Client Education: | Review schedule for Rhogam administration Review adverse effects |
| Why is Fentanyl used during labor? | For pain control |
| How is Fentanyl given during labor? | Through the Epidural catheter by a CRNA/Anesthesiologist |
| What should the nurse monitor when dealing with a patient given Fentanyl? | Blood pressure every 5 minutes after block and each time reinjection until stable Fetal HR |
| Fentanyl Nursing Interventions: | Assess BP and fetal HR every 5 minutes following administration Monitor for a full bladder (May slow contractions) Monitor contractions May insert a foley cath |
| Fentanyl Client Education: | Explain how the epidural will work Explain they may not feel bladder and a foley may be inserted Explain contractions may be slow Explain frequent vital signs and fetal HR checks |
| What is the main purpose of Narcan (Naloxone)? | To reverse an opioid overdose. It blocks the effects on the brain and restores breathing. |
| Narcan Dosage: | 2 MG IV (May need to be repeated) May be given intranasally |
| Why might Narcan need to be repeated? | It has a shorter half life of the narcotic |
| Narcan Adverse Effects: | Nausea Headache Sweating |
| Narcan Nursing Implications: | Assess results of narcotic on individual especially resp rate. (Patient might become unresponsive if resp rate decreases.) Watch for the need to re administer Narcan |
| When may magnesium sulfate be given? | Given to prevent seizures in pre-eclampsia and eclampsia May be given to stop pre term labor (Protect the brain and maybe decrease chance of cerebral palsy) |
| What type of drug is magnesium sulfate? | High alert drug |
| How is magnesium sulfate administered? | 4 gram IV loading dose of 30 minutes Maintenance dose 1-2 grams per hour continuous IV |
| Magnesium Sulfate Adverse Effects: | Absent deep tendon reflexes Respiratory depression Pulmonary edema Cardiac arrhythmias Flushing Dry mouth Nausea Blurred Vision |
| Magnesium Sulfate Nursing Implications: | Vital Signs; Pulse ox Monitor deep tendon reflexes (lose if greater than 9mmol) I & Os S & S of labor progression Monitor magnesium concentration in blood level Respiratory paralysis (12mmol or greater) Monitor contractions (May slow) |
| What is the antidote of magnesium sulfate? | Calcium gluconate |
| Cervical Ripening Agent Contraindications: | Previous C-section Uterine surgery History of a difficult labor Multipara pregnancy Fetal distress Hypersensitivity disorders |
| Cervical Ripening Agents: | Work to physically soften the cervix which leads to dilation and effacement. Used if induction is going to happen. |
| Cervical Ripening Agent Uses: | Soften the cervix Abortion |
| Why is Dinoprostone (Cervidil) used? | Used to help a pregnant woman to relax the muscles of the cervix to prepare to induce labor. Cervical ripening Pregnancy termination |
| How is Dinoprostone administered? | 20 mg given as vaginal suppository Client is to stay in bed for 2 hours after insertion |
| When is Dinoprostone removed? | When labor starts or after 12 hours |
| Dinoprostone Adverse Effects: | Hypotension Uterine rupture Vaginitis Fever Diarrhea Headache Back pain |
| Dinoprostone Nursing Implications: | Ask if membranes have ruptured. If so would not be given. Monitor uterine activity, fetal status and progression of cervical dilation and effacement Remove when labor begins or if fetal distress Check vaginal discharge Explain procedure |
| What are misoprostol (cytotec) uses? | Peptic ulcer disease Pre induction medication usually delivery happens within 24 hours |
| How is misoprostol administered? | 25 mcq PO, Sublingual, buccal, or vaginally |
| Misoprostol adverse effects: | Uterine tachysystole (Increased uterine contractions) Fever N/V Diarrhea Chills Dizziness |
| Misoprostol Contraindications: | If taking this drug for peptic ulcer disease the drug would need to be changed when the woman becomes pregnant because it can cause abortion. |
| Misoprostol Nursing Implications: | Bedrest 1 to 2 hours after insertion Monitored uterine contractions Monitor VS and fetal HR |
| Oxytocin (Pitocin) uses: | Induce labor: After cervical ripening drugs given and worked Helps to reduce post partum bleeding because it can help the uterus to contract. |
| How is Oxytocin administered? | IV: Continuous infusion Contractions usually start about 30 minutes after the injection |
| Oxytocin contraindications: | Fetal distress Hydramnios (Large amount of amniotic fluid) Partial placenta preavia |
| Oxytocin adverse effects: | Uterine rupture N/V More intense and frequent contractions |
| Oxytocin Nursing Implications: | Oxytocin administered via an infusion pump Monitor uterine contractions Monitor fetal HR Monitor VS Monitor I & Os |
| Oxytocin Client Education: | Reason why drug is given Why you do the monitoring Report any adverse effects |
Created by:
KatHal7335
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