Action: Stimulate uterine contractions similar to normal labor.
Side Effects: Uterine contractile anbormalities, N/V, diarrhea, back pain, warm feeling in vagina, fever
Fetal: heart rate abnormalities, bradycardia
Nursing Implication: Avoid contact with skin. Wash thoroughly after administration. Administer at room temperature. Patient supine for 15-30 min after insertion
Action: Prevention of seizure in preeclampsia and eclampsia.
Side effects: Diarrhea. >3 mg/dL: depressed CNS, clocked neuromuscular transmission->anticonvulsant effects. >5 mg/dL: depressed DTR. >12.5 mg/dL: respiratory paralysis
Nursing implications: VS Q 15 after IV dose. Do not exceed 150 mg/min. Monitor cardiac function. Time contractions+FHR, I&O (remain >30 mL/hr)
Action: Stimulate uterine contraction, decreases bleeding
Side Effects: Headache, dizziness, N/V, chest pain, palpitations, HTN, tinnitus, sweating, rash
Nursing implications: Monitor BP, pulse, character, amount of vaginal bleeding, respiratory rate.
Give IM in deep muscle mass and IV only in emergency
Action: Produce uterine contractions,stimulates milk ejection by breasts. Has diuretic and vasopressor effects.
Side effects: Anaphylaxis, postpardum hemmorhage, cardiac arrythmias, N/V, premature ventricular contractions, HTN, convulsions.
Fetal: bradycardia, arrhythmia, jaundice, hypoxia, intracranial hemmorrhage
Nursing implications: Monitor I&O ratio, contractions, FHR, BP, pulse, respiration.
Action: Binds with opiate receptors in CNS, altering perception of and emotional response to pain.
Side effects: Headache, sedation, vertigo, syncope, restlessness, crying, confusion, BP variations, bradycardia, blurred vision, N/V, urinary urgency, respiratory depression, asthma
Neonatal: disorganized infant behavior, fussiness, refusal to nurse
Nursing Implications: Administer 1 or 2 dose, then begin an epidural. Monitor circulatory + respiratory status, bladder + bowel function. Withhold dose if respiratory <12 breaths/min. Stool softener may be ordered.
Action: Adjunct to analgesics.
Side effects: Sedation,BP deviations, blurred vision, N/V, urine retension, seizures
Nursing implications: Use for Postoperative cesarean delivery. IM . May be mixed with meperidine in the same syringe.
Action: Produce strong, prompt contractions of uterine smooth muscles. Use in postpartum hemorrhage due to uterine atony.
Side effects: Headache, anxiety, weakness, arrythmias, eye pain, N/V, leg cramps, wheezing, fever, chills
Nursing Implications: Use only in hospital setting. May be inject into uterus
Action: Antianxiety antepartum and pospartum adjunctive therapy
Side Effects: Drowsiness, dry mouth, marked discomfort at IM site
Nursing Implication: Use less frequently. Aspirate IM carefully to prevent inadverten IV injection. Observe for sedation
Codein (Tylenol #3)
Action: Pain reliever, narcotic
Side effects: Drowsiness, sedation, N/V, constipation, respiratory depression, urinary retention, allergic reactions, rash, urticaria
Nursing implications: Avoid using CNS depressant or alcohol. Avoid driving or hazardous tasks. Dependency with extended use. Avoid overdosing mother on acetaminophen.
Side effects: None
Nursing implications: Chew tablet thoroughly before swallowing. PO - PC
Rh(D) immune globulin
Action: Gamma globulin solution, provide passive immunity by suppressing antibody response + formation ofanti-Rh(D) in Rh-negative individual exposed to Rh-positive blood
Side effects: Injection site irritation, slight fever and lethargy
Nursing implications: Check lot number, administer IM only to mother within 72 hrs of birth.
Action: Live virus vaccine
Side effects: Rash, joint pain, pain at site. Does not harm breast feeding mothers
Nursing implications: Administer IM postpartum period. Warn patient to avoid pregnancy for at least 3 mos. Obtain inform consent
Tucks pads and cream
Action: Astringent. Relief of perineal discomfort
Side effects: Local irritation
Nursing implications: For external use only.
Action: Topical anesthetic.
Side effects; Allergic reactions, burning, stinging
Nursing Implications: External use only(application to severely denuded tissue may result in system absorbtion)
Action: Antidote for inadequate absorption and synthesis of vitamin K in neonate
Side effects: With large dose, hyperbilirubinemia, hemolytic anemia, kernicterus
Nursing implications: 0.5-1 mg IM in infant's vastus laterialis after delivery. Stabilize leg firmly
Purified lanolin cream
Action: Retain skin natural moisture + protects mother nipple from further abrasions
Side effects: None.
Nursing implications: Wash off before next feeding. CI in mothers with history of wool allergy before a skin test can be done
Erythromycin ophthalmic ointment
Action: Ophthalmic antibiotic agent
Side effects: Irritation of eye lasts 24-48 hrs. Temporary blurred vision
Apply to conjunctival sacs of baby. Wear gloves. Cleanse eye first if necessary. Spread ointment from inner canthus to outer canthus on lower lid. Do not touch tube to eye. After 1 min, wipe excess. Observe for irritation
Dermaplast spray or ointment
Action: Local anesthetic. Temporarily reducing perception of local discomfort.
Side effects: Uriticaria, edema, contact dermatitis
Nursing implications: Cleanse area with clear, warm water after each strip to the toilet. Hold spray 6-12 inches from affected area + spray liberally. Use up to 4X/day.
Action: Narcotic opioid analgesics antagonist
Side Effect: tremors, seizures, BP variations, N/V,. Can cause seizure when used with street drugs.
Nursing Implications: Not used as often. Respiratory rate increases within 1-2 min. Monitor respiratory depth and rate. Be prepared to provide oxygen, ventilation, and other resusciation measures. Administer IV into umbilical vein. May be repeated Q 2-3 minutes.
Action: Relax smooth muscle of uterus - prevent preterm labor. Contain epinephrine. Normally use to open airway
Side effects: Increase a woman's short-term risk for diabetes,increase blood sugar levels in women with diabetes. Arrythmias, palpitation, flushing, tremor, diaphoresis, weakness
Action: NSAID . Treatment of ankylosis spondylitis, arthralgia, bursitis, myalgia, osteoarthritis
Side effects: black stools, persistent stomach/abdominal pain, vomit that looks like coffee grounds, chest pain, shortness of breath, weakness on one side of the body, sudden vision changes, slurred speech.
Nursing implications: May cause ulceration and bleeding of stomach and intestine. Can occur without abdominal pain, and black tarry stools, weakness