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Pharm Test #2 Cont.
Pharm Test #2 (ch.47)
Question | Answer |
---|---|
Which classification are the drugs Oxytocin & Pitocin in? | Oxytocic |
Which classification stimulates uterine smooth muscle, producing uterine contractions? | Oxytocic |
Which classification stimulates mammary gland smooth muscle, facilitating lactation? | Oxytocic |
Which classification has a antidiuretic effect? | Oxytocic |
What are the uses for Oxytocic drugs? | *Induction/Augmentation of labor *Management of inevitable or incomplete abortion *Control of post partum bleeding/hemorrhage *Stimulation of milk letdown reflex |
What are the adverse reactions of Oxytocic drugs? | *Fetal bradycardia *Uterine rupture *Uterine hypertonicity *Hypotension *serious water intoxication (fluid overload) *serious water intoxication= drowsiness, confusion, headache, wheezing, coughing, and rapid breathing |
What are the contraindications for a patient taking Oxytocic drugs? | *Labor induction when vaginal delivery is contraindicated (unfavorable fetal postion, placenta previa, severe toxemia, and CPD) *Obstetric emergencies *Fetal distress *Hypertonic uterus |
Oxytocic drug interactions include: | Severe hypertension when given with vasopressors |
What are the nursing interventions for a patient taking Oxytocic drugs? | *Administer IV on a pump *Continuous FHR monitoring *Assess uterine contractions (intensity, frequency, and duration) *IF SIGNIFICANT CHANGE IN FHR OR CONTRACTIONS STOP THE PITOCIN AND NOTIFY MD *Monitor for s/s of water intoxication |
What patient teaching would you give to someone taking Oxytocic drugs? | *Patient should expect contractions to become more intense after administration *Administer nasal spray 2-3 minutes prior to planned breast feeding |
Which classification includes the drug Magnesium sulfate? | Mineral and electrolyte replacement, Tocolytic |
Which classification of drugs prevent or control convulsions by blocking neuromuscular transmission | Mineral and electrolyte replacement, Tocolytic |
Which classification of drugs act peripherally to produce vasodilation | Mineral and electrolyte replacement, Tocolytic |
What are the uses for Mineral and electrolyte replacement, Tocolytics? | *anticonvulsant associated with severe eclampsia or pre-eclampsia *Management of preterm labor |
Mineral and electrolyte replacement, Tocolytic adverse reactions include: | *Hypotension *Depressed reflexes *Flaccid paralysis *Decreased respiratory rate *Drowsiness, fatigue *Blurred vision *Flushing, sweating *Headache |
Contraindications for a patient taking Mineral and electrolyte replacement, Tocolytic medicines would include: | *Hypermagnesemia *Hypocalcemia *Heart block, myocardial damage *Anuria *Within 2 hours of delivery |
Mineral and electrolyte replacement, Tocolytic interactions include: | *increased effectiveness of CNS depressants (opioids, analgesics, & sedatives) |
Nursing Interventions for a patient taking Mineral and electrolyte replacement, Tocolytic medications include: | *Monitor HR, BP & respirations (respirations should be greater than or equal to 16/minute) *Monitor intake and output (urine output should be greater than or equal to 30 ml/hr) *Monitor neurologic status, DTR |
More Nursing Interventions for a patient taking Mineral and electrolyte replacement, Tocolytic medications include: | *Magnesium toxicity: (loss of DTR, resp less than 12/min, urine output less than 30 ml/hr, ANTIDOTE: CALCIUM GLUCONATE *Monitor newborn for hypotension, hyporeflexia, & resp. depression |