Name of Patient: Age:

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Attending Physician: Impression/Diagnosis:

Dosage, Route, Name of Drug Frequency, Timing Available Forms: Generic: Oxytocin 10 units/ml in1ml ampule, vial or syringe Brand: incompatible IV solution Contraindications Hypersensitive to Classification Pharmacologic Class: Posterior pituitary hormone Therapeutic Class: Uterine active agent
Students Name: ___________________________ Clinical Instructor: _________________________ Name of Patient: Attending Physician:

Mechanism of Action

Indication To induce or stimulate labor.

Adverse Reactions

Special Precautions Oxytocin can be very useful for helping labor. However, there are certain risks with using it. Oxytocin

Nursing Responsibilities 1. Continuously monitor contractions, fetal and maternal heart rate, and maternal blood pressure andECG. 2. Discontinueinfusion if uterinehyperactivity occurs. 3. Monitor patientextremely closelyduring first andsecond stages oflabor because of riskof cervical laceration,uterine rupture andmaternal and fetaldeath. 4. Assess fluid intakeand output. Watch forsigns and symptomsof water intoxication

Side Effects CV: Hypertension,increased heartrate, systemicvenous return,cardiac output GI: Nausea,vomiting RESPIRATORY: Anoxia, asphyxia OTHERS: Low APGARscore at 5 mins.

causes contractions of the uterus. In women who are unusually sensitive to its effects, these contractions may become too strong.

drug when vaginal delivery is advisedCPD is presentwhen delivery requires conversion as in transverse lie.

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Impression/Diagnosis:

Dosage, Route, Name of Drug Frequency, Timing Oxytocin Generic: Dosage: Causes potent and selective stimulation Brand: Route: Classification Functional: Frequency: of uterine and mammary gland smooth muscles producing sustained contractions Induces labor and milk ejection and reduces post partum bleeding Contraindications
Cardiovascular: hypertension; increased heart rate, systemic venous return, and cardiac output, and arrhytmias CNS: seizures, coma from water intoxication Gastrointestinal: Nausea, vomiting, GU: titanic uterine contractions, abruption placentae, impaired uterine blood flow, pelvic hematoma Respiratory: anoxia, asphyxia

Mechanism of Action

Indication

Adverse Reactions

Special Precautions In rare cases, this may lead to tearing of the uterus. Also, if contractions are too strong, the supply of blood and oxygen to the fetus may be decreased. Oxytocin may cause jaundice and eye problems such as retinal hemorrhage infants

Nursing Responsibilities

Hematologic:afibrinogenemia in some newborn

Chemical:

Timing:

Students Name: ___________________________ Clinical Instructor: _________________________ Name of Patient: Attending Physician:

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Dosage, Route, Name of Drug Generic:

methylergonovine maleate

Frequency, Timing IV:0.2 mg after delivery of after delivery of

Mechanism of Action Methergin smooth muscles Producing sustained contractions thereby shortens the third stage of labor

Indication Prevention and treatment of postpartum and post abortion hemorrhage caused by uterine atony or sub involution Contraindications

Adverse Reactions

Special Precautions
Caution should be exercised in the presence of sepsis, obliterative vascular disease. Also use with caution during the second stage of labor. The necessity for manual removal of a

Nursing Responsibilities Be alert for adverse reactions and drug interactions. This drug should be used extremely carefully because of its potent vasoconstrictor action. I.V. use may induce sudden hypertension and cerebrovascular accidents. As a last resort, give I.V. slowly over several minutes and monitor blood pressure closely.

anterior shoulder, Stimulates uterine placenta, or during puerperium; may be repeated as

Brand: Methergine

Classification PC: Ergot Alkaloid and Derivative TC: oxytocic, lactation stimulant

required at intervals of 2-4 hours

Side Effects
Nausea; vomiting.

retained placenta should occur only rarely with proper technique and adequate allowance of time for its spontaneous separation.

Students Name: ___________________________ Clinical Instructor: _________________________ Name of Patient: Attending Physician:

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Dosage, Route, Name of Drug Frequency, Timing

Cardiovascular:

Mechanism of Action

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

Generic:

Dosage:

Contraindications
Contraindicated in patients hypersensitive to methy lergonovine or any component of theformulation. ergot alkaloids are contraindicated with potent inhibitors of

hypertension, temporary chest pain, palpitation CNS: Hallucinations, dizziness, seizure, headache Gastrointestinal: Nausea, vomiting ,diarrhea, foul taste Local: Thrombophlebitis Otic: Tinnitus Renal: Hematuria Respiratory: Dyspnea, nasal congestion Miscellaneous: Diaphoresis

Brand: Route: Classification Functional: Frequency:

CYP3A4 (includes protease inhibitors, azole antifungals, and some macrolide

Chemical:

Timing:

antibiotics hypertension toxemia; pregnancy

Students Name: ___________________________ Clinical Instructor: _________________________

Name of Patient:

Attending Physician:

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Dosage, Route, Name of Drug Frequency, Timing 5mL Generic: 2% Lidocaine Brand: (100mg/5mL) An amide type local anaesthetic. It stabilizes the neuronal membrane and inhibits sodium are necessary for Classification Antiarrhythmic, Anesthetic (local and general) conduction of impulses. In the heart, lidocaine reduces phase 4depolarisation and automaticity. Duration of action potential and effective refractory period are also reduced.
Students Name: ___________________________ Name of Patient: Clinical Instructor: _________________________ Attending Physician:

Mechanism of Action

Indication Pulse less ventricular fibrillation or ventricular tachycardia block Contraindications Hypovolemia Heart block or other conduction disturbances

Adverse Reactions Dizziness, Paraesthesia, Drowsiness, Confusion, Respiratory depression Convulsions

Special Precautions Hepatic or renal impairment CHF and following cardiacsurgery Bradycardia Respiratory

Nursing Responsibilities Additive cardiac effects with IV phenytoin Effects antagonized by hypokalaemia caused by acetazolamide, loop diuretics and thiazides.

ion movements, which Sympathetic nerve

Side Effects Potentially fatal: Hypotension and bradycardia leading to cardiac arrest Anaphylaxis

depression Porphyria Elderly or debilitated patients Pregnancy

Dose requirements may be increased with long-term use of phenytoin and other enzyme-inducers.

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Dosage, Route, Name of Drug Frequency, Timing

Child 6-12 yr 1 tab

Mechanism of Action May be taken with or without food. Swallow whole, do not break/crush/chew.

Indication Tab GIT & GUT spasm. Irritable bowel syndrome (IBS). Amp Acute GI, biliary & genito-urinary spasm, including biliary & renal colic. As an aid in diagnostic & therapeutic procedures where spasm may be a problem eg gastroduodenal endoscopy & radiology.

Adverse Reactions Tachycardia, dizziness, dry mouth, dishydrosis, urinary retention. Tab Allergic reactions, dyspnea, painful red eye w/ loss of vision. Amp Anaphylactic reactions, accomodation disorders, mydriasis, increased IOP, decreased BP, flushing.

Special Precautions Tachycardia or other cardiac problems. Thyroid gland problems. Urinary retention, constipation, fever. May impair ability to drive or operate machinery. Pregnancy & lactation

Nursing Responsibilities Asses for eyepain; d/c use Asses for parkinsonism, extra pyramidalsymptoms Asses for urinary hesitancy, retention, palpate bladder of retention occurs. Asses for constipation Asses for tolerance overlong term therapy Asses for mental status.

Generic: Hyoscine

tds. Amp Adult & adolescent >12 yr 1-2 amp (20-40 mg). Max 100 mg/day. Infants & childn Severe cases: 0.3-0.6 mg/kg body wt. Max 1.5 mg/kg

Brand: Buscopan

Classification Functional: Anticholinergic/ antispasmodic

body wt/day. To be administered via slow IV, IM or SC inj several times daily

Students Name: ___________________________ Clinical Instructor: _________________________ Name of Patient: Attending Physician:

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Dosage, Route, Name of Drug Frequency, Timing Generic: Dosage: Contraindications Megacolon, myasthenia gravis, Brand: Route: Classification Functional: Frequency: glaucoma. Women of child-bearing potential. Amp Untreated narrow angle glaucoma, prostate hypertrophy w/ urinary retention, mechanical stenosis in GIT, tachycardia, Chemical: Timing: IM inj in patients on anticoagulants.
Students Name: ___________________________ Clinical Instructor: _________________________ Name of Patient: Attending Physician:

Mechanism of Action

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

Side Effects Constipation, dry mouth, trouble urinating, or nausea could occur.

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Brand: Route: Classification Functional: Frequency: Contraindications Side Effects

Chemical:

Timing:

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Dosage, Route, Name of Drug Frequency, Timing Generic: Dosage: Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

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Chemical:

Timing:

Students Name: ___________________________ Clinical Instructor: _________________________ Name of Patient: Attending Physician:

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Dosage, Route, Name of Drug Frequency, Timing Generic: Dosage: Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Brand: Route: Classification Functional: Frequency: Contraindications Side Effects

Chemical:

Timing:

Students Name: ___________________________ Clinical Instructor: _________________________ Name of Patient: Attending Physician:

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Dosage, Route, Name of Drug Frequency, Timing Generic: Dosage: Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Brand: Route: Classification Functional: Frequency: Contraindications Side Effects

Chemical:

Timing:

Students Name: ___________________________ Clinical Instructor: _________________________