Professional Documents
Culture Documents
Ferrous Sulfate
Iron preparation. To correct simple iron deficiency and to treat iron deficiency anemias
Nausea, heartburn, constipation, black stools, yellow browndiscoloration of eyes, rickets, massage overdosage, which cause shock, cardiovascular collapse, liver necrosis, and death.
Docusate Sodium
Gastrointestinal agent, stool softener. For people who should avoid straining during defecation and for treatment of constipation associated with hard, dry stools.
Atonic constipation, nausea, vomiting, abdominal pain, fecal impaction, structural anomalies of colon and rectum, intestinal obstruction or perforation. Take with caution if have history of CHF, edema, diabetes mellitus.
Medications: Postpartum
Ibuprofen
Percocet
Narcotic analgesic. For moderate to moderately sever pain. Can be used in aspirin sensitive women
Tucks Pads
Pads soaked in Witch Hazel. Relieves pain of lacerations/hemorrhoids Topical Anesthetic Numbs/relieves pain of lacerations and cuts
Avoid if allergic to any of its components. Avoid if allergic to any of its components. Keep away from face.
Dermoplast Spray
Medications: Postpartum
Lanolin Ointment RhoGAM
Rubella
Burning or stinging at the injection site sore arm, redness at injection site, joint aches or pain; about 2-4 weeks later may have a rash, malaise, sore throat, or headache,
Pregnancy
Medications: Postpartum
DepoProvera
Medications: Post/Op
Duramorph
Narcan
0.4-2mg IV
Respiratory depression, opiate dependent pts., cardiovascular disorders Be aware that HA requiring an analgesic for relief is a common adverse effect
Zofran
I.M., I.V.: Postoperative nausea and vomiting: 4 mg as a single dose approximately 30 minutes before the end of anesthesia, or as treatment if vomiting occurs after surgery PO, IM I.V.: 30 mg as a single dose or 30 mg every 6 hours (maximum daily dose: 120 mg)
Ketorolac/Tordol
NSAID, analgesic, antipyretic for short-term ( 5 days) management of moderatelysevere acute pain requiring analgesia at the opioid level
May increase methotrexate levels and toxicity. Muscle relaxants: Concomitant use has resulted in apnea. NSAIDs, salicylates &Probenecid: Concomitant use increases NSAIDinduced adverse effects; contraindicated.
Watch for S&S of GI ulceration and bleeding; Consult prescriber if breastfeeding; Do not use other NSAIDS while taking this drug. Administer I.V. bolus over a minimum of 15 seconds; onset within 30 minutes; peak analgesia within 2 hours. Anticoagulants: Increased risk of bleeding complications so monitor for this if patient is on anticoagulants.
Medications: Post/Op
Nubain
Benadryl
Anti-histamineH1 receptor blocker allergies Opiate analgesic CNS agonist, binds receptors, severe pain control
Drowsiness, dizziness, Headache, nausea, and vomiting, tachycardia, nervousness, BP. Constipation and decreased respirations Prolongs labor
Ambulate because its anti-cholinergic Monitor cardiovascular effects. Dont mix with other CNS depressants. Use caution with breastfeeding. May cause dizziness/drowsiness so warn pt. Monitor pain relief and breathing closely Monitor infant for sleepiness. Monitor for dizziness and teach pt. to ask for help if dizzy with ambulation. Be aware of purpose and anticipated effect of oxytocin. Monitor blood pressure, fluid intake and output, and labor closely if using oxytocin for induction; fetal monitoring is strongly recommended (see Adverse Reactions). Pregnancy risk factor X. Note breast-feeding caution. Must be given with infusion pump for induction of labor and uterine contractions observed for hyperstimulation and/or fetal distress. Turn off medication if this occurs and notify health care provider. Report sudden, severe HA immediately to healthcare providers.
Morphine Sulfate
Pitocin
Induction of labor at term; control of postpartum bleeding; adjunctive therapy in management of abortion. Produces phasic contractions
IV, nasal Induction or stimulation of labor: Add oxytocin 10 units to NS or LR 1000 mL to yield a solution containing oxytocin 10 milliunits/mLPos tpartum uterine bleeding: Add oxytocin 10-40 units to running I.V. infusion; maximum: 40 units/1000 mL
Edema, redness of the skin, neonatal jaundice, fetal trauma from too rapid propulsion through the pelvis. May produce antidiuretic effect (ie, water intoxication and excess uterine contractions); high doses or hypersensitivity to oxytocin may cause uterine hypertonicity, spasm, tetanic contraction, or rupture of the uterus;
Unfavorable fetal position, fetal distress, hypertonic or hyperactive uterus, contraindicated vaginal delivery. Severe water intoxication with convulsions, coma, and death is associated with a slow oxytocin infusion over 24 hours
Medications: L&D
Terbutaline
Cytotec
Has been used prior to anesthesia induction as a preoperative antacid to prevent aspiration PNEUMONITIS; effectiveness is controversial Prostaglandin, cervical ripening and induction of labor
Renal impairment or sodium restricted diets. Electrolyte imbalance. Addison's disease, diabetes, heart or kidney disease, high blood pressure, hypocalcemia, intestinal blockage, or stomach problems. Renal impairment. Safety in children less than 18 years is not established.
Monitor serum electrolytes, especially bicarbonate, in patients with renal disease. Monitor for SEs. Warn it has a sweet/sour taste.
Do not breast feed while taking this drug. Can cause miscarriage in pregnant pt. Not FDA approved for induction
Medications: L&D
Demerol
Phenergan
Nausea: PO/PR/ IM/IV 12.5-25 mg q4-6h Allergic reactions: I.M., I.V.: 25 mg, may repeat in 2 hours when necessary; switch to oral route as soon as feasible Onset of action: I.M.: ~20 minutes; I.V.: 35 minutes Duration: 2-6 hrs.
Respiratory depression, agranulocytosis, blurred vision, dry mouth, drowsiness. May cause extrapyramidal symptoms, including pseudoparkinsonism, acute dystonic reactions, akathisia, and tardive dyskinesia. May be associated with neuroleptic malignant syndrome (NMS).
Medications: L&D
Methergine (mrthylergonovine maleate)
Prostin (Hemobate)
Use with caution in patients with history of asthma, hypotension or hypertension, cardiovascular, adrenal, renal or hepatic disease, anemia, jaundice, diabetes, epilepsy or compromised uteri
Medications: Newborn
Vitamin K/ AquaMEPHYTON
Hypersensitivity of erythromycins. History of allergic reactions to hep B vaccine or to any ingredient in vaccine.