Drugs for Labor and Delivery
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| show | antiemetics, antiulcer, and corticosteroid agents
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| show | *promethazine (Phenergan) *diphenhydramine (Benadryl) *metoclopramide (Reglan) *ondansetron (Zofran)
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| show | *famotidine (Pepcid) *ranitidine (Zantac)
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| show | methylprednisolone
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| What food helps replace chloride lost when hydrochloric acid is vomited? | show 🗑
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| What is the goal for diastolic blood pressure when taking antihypertensives? | show 🗑
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| show | hydralazine (Apresoline) {vasodilator}
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| How do antihypertensives work? | show 🗑
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| show | *Hypersensitivity *Coronary artery disease *Cardiovascular disease
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| show | every 2 - 3 minutes for the first 30 minutes after initial dose and periodically throughout the course of therapy.
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| Abrupt withdrawal from antihypertensives may cause what? | show 🗑
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| What is given to prevent uterine contractions in preterm labor? | show 🗑
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| show | *Decreases acetylcholine released by motor nerve impulses, thereby blocking neuromuscular transmission *Depresses the central nervous system (CNS) to act as an anticonvulsant
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| show | Magnesium sulfate
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| show | *Hypermagnesemia *Hypocalcemia *Anuria *Heart block *Active labor or within 2 hours of delivery (unless used for preterm labor)
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| show | *Flushing *Sweating *Hypotension *Depressed deep tendon reflexes *CNS depression
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| show | Respiratory rate > 16 per minutes before each dose
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| What should be present before an anticonvulsant is given? | show 🗑
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| What should a PTs urine output be at before administration of an anticonvulsant? | show 🗑
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| What is the therapeutic serum magnesium levels of anticonvulsants? | show 🗑
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| show | calcium gluconate (Keep in room, with needles and syringes)
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| show | *Induction of labor at term *Facilitation of uterine contractions at term *Facilitation of threatened abortion *Postpartum control of bleeding after expulsion of the placenta
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| show | promote milk letdown in lactation women (Syntocin)
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| show | *Has vasopressor and antidiuretic effects *Stimulates smooth muscle, producing uterine contractions similar to those in spontaneous labor *Stimulates mammary gland smooth muscle, facilitating lactation
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| When giving oxytocin, what indicates oxytocin must be DC'd and PT should be turned on her left side due to risk of fetal anaoxia? | show 🗑
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| How long is magnesium sulfate continued postpartum to prevent seizures? | show 🗑
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| show | Initiated with heparin or heparin-like agent, Maintained with warfarin
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| Why is heparin safer to use with pregnant women than warfarin? | show 🗑
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| show | PT or INR
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| What labs monitor heparin? | show 🗑
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| What is the antidote for heparin? | show 🗑
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| What is the antidote for Warfarin? | show 🗑
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| show | Conversion of paroxysmal supraventricular tachycardia (PSVT) to normal sinus rhythm
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| What is the use of digoxin? | show 🗑
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| show | *Slows conduction time through the AV node *Produces coronary artery vasodilation
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| What is the action of digoxin? | show 🗑
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| show | antiarrhythmics
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| When must the EKG, pulse, and blood pressure be monitored in the PT with IV antiarrhythmics? | show 🗑
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| show | Periodically
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| When must the apical heart rate be at to administer adenosine and digoxin? | show 🗑
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| What is the use of betablockers? | show 🗑
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| What are the contraindications of beta-blockers? | show 🗑
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| What is the use of calcium channel blockers? | show 🗑
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| What is the action of calcium channel blockers? | show 🗑
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| What is given to decrease the progression of diabetic nephropathy? | show 🗑
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| show | *Block conversion of angiotensin I to the vasoconstrictor angiotensin II. *Inactivates the vasodilator bradykinin and vasodilatory prostaglandins. *Increase plasma renin levels, reduce aldosterone levels *Result is systemic vasodilation
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| show | Ferrous sulfate (iron)
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| While the PT is recieving Iron therapy, how often must hemoglobin, hematocrit, and reticulocyte values be checked? | show 🗑
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| show | *Stomach pain *Fever *Nausea *Vomiting (may contain blood) *Diarrhea
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| What are late symptoms of ferrous sulfate (iron) toxicity? | show 🗑
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| How long may a PT be on iron therapy before hemoglobin reaches normal perameters? | show 🗑
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| show | 3-6 months
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| show | 1 g/100 ml
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| show | signs of megaloblastic anemia (fatigue, weakness, dyspnea)
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| show | vegetables, fruits, and organ meats
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| show | Heat
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| show | False. Tocolytics are PRIMARILY used for conditions other than preterm labor and therefore have effects on body systems other than the reproductive system.
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| What are the types of tocolytic drugs? | show 🗑
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| show | tachycardia, palpitations, tremor, anxiety, and headache
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| show | Hypoglycemia
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| show | Begin infusion at 10 mcg/min. Increase dosage by 5 mcg every 10 min until contractions cease
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| What drug is initiated as an alternative to surgery in the management of patent ductus arteriosus in premature neonates? | show 🗑
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