maternity drugs

8/9/2019 Maternity Drugs

1/8

Labor and Delivery Unit DrugsDrug Rout

e ofAdm

in

NursingResp.

Contra Mechanismof action

Side eects Class

!hytonadione in".#$it%&

injection Avoid IM inj;use softtoothbrush;reportsymptoms ofbleeding;teach abouttheimportance of

frequent labtests

Hypersensitivity, severehepaticdisease, lastfew weeks ofpregnancy

eeded foradequate bloodclotting !factorsII, "II, I#,#$

#CNS&HA, braindamage#'(&nausea,decreased %&'s#)*MA&hemolyticanemia,hemoglobinuria,hyperbilirubinemia#(N+*'&rash, uticaria

#R*S!&bronchospasm,dyspnea, feeling ofchest constriction, resparrest

"it (; fat)solublevitamin

Cytotec#Misoprostol

&,

*+ o not take ifpregnant; donot take formore than -wks unlessdirected;

avoid +'.preparations/aspirin,cough, coldproducts,condition mayworsen

Hypersensitivity to thisproduct orprostaglandins;*regnancy !#$

Inhibits gastricacid secretion;may protectgastric mucosa;can increasebicarbonate,

mucusproduction

#'(&diarrhea, 0",1atulence,constipation,dyspepsia, abdominalpain#'U&spotting, cramps,

hypermenorrhea,menstrual d0os

2astricmucosaprotectant;antiulcer

Duramorph

inj Allergy to otheropiates, acutebronchial

asthma, upper

*ain relief Hypotension, respdepression and0or resparrest; pruritus, urinary

retention, constipation,

opium


2/8

#forintrathecalin".&

airwayobstruction

HA

-entanyl

'rans)

dermalasalspray3% sprayInj

About .3

changes,physicaldependence,not to usewith alcoholor other .3depressants!transdermal$e4cessiveheat mayincreaseabsorption

Hypersensitivit

y to opiates,myastheniagravis;*regnancy 5

Inhibits

ascending painpathways in.3, increasespain threshold,alters painperception bybinding toopiatereceptors

#CNS&di66iness,

delirium, euphoria,sedation#C$&bradycardia,arrest,hypo0hypertension#**N+&blurred vision,miosis#'(&0", constipation#gu&urinary retention#(N+*'&rash,diaphoresis#MS&muscle rigidity#R*S!&respdepression, arrest,laryngospasm

+pioid

analgesic

MagnesiumSulfate ($,

I",irectI",.ontinuous I"I&route

ot for long)term; chillingimprovestaste; shakesuspension;not to give atbedtime; givecitris fruiteafter tocounteracttaste;e4pectedresults

Hypersensitivity, abdominalpain, 0",obstruction,acute surgicalabdomen,rectal bleeding,heart block,myocardialdamage

Inreasesosmoticpressure, draws1uid into colon,neutrali6es H.l

#CNS&muscleweakness, 1ushing,sweating, confusion,sedation, depressedre1e4es, 1accidparalysis, hypothermia#C$&hypotension,heart block, circulatorycollapse, vasodilation#'(&0", anore4ia,cramps, diarrhea#)*MA&prolongedbleeding time#M*+A&electrolyte,1uid imbalances

7lectrolyte; anti)convulsant; salinela4ative;antacid


3/8

#R*S!&respdepression

!enicillin '

($!/,

I" .arry I ifallergic, shakesusp well;report sore

throat, fever,fatigue; reportdiarrhea

Hypersensitivity to penicillin,corn;pregnancy !8$

Intereferes withcell)wallreplication ofsusceptible

organisms; incell death

#CNS&lethargy,hallucinations,depression, twitching#'(&0" diarrhea

#'U&vaginitis,moniliasis#M*+A&alkalosis,hypernathypo0hyperkalemia#M(SC&local pain

8road)spectrumanti)infective

/etamethasone (M#Celestone&

IM otify if youare taking+'.s or othermedications;may interferewith vaccines;may need tobe on a salt)restriction dietor take (9supplements

ecreasesin1ammation

8lack0tarry stools;blurred vision; bluishskin; unusual bleedingor bruising; muscleweakness0cramps;sudden0severestomach pain, n0v

.ortico)steroid

Cervidil#Dinoproston

"ag sup;2el!pre:lledsyringe$;"aginsert

emainsupine for


4/8

e& intercourse,tub baths,douches,tampon usefor at least ?wks

#(N+*'&rash, skincolor changes#MS& leg cramps, jointswelling, weakness#'*L&uterinecontractile

abnormality, back pain,fever#(NS*R+&uterinehyperstimulation,fever, 0", diarrhea,abdominal pain#SU!!1S(+1R0&uterine rupture,anaphyla4is

*phedrineSulfate,

InjsubcutIMI"

Angle closureglaucoma; ifvasopressordrugs may becontraindicated

ervousness, an4iety,di66iness, HA, 0", lossof appetite, or troublesleeping

8roncho)dilator

)emabate

InjIM

*ossiblecervicaltrauma

Indices abortion *elvic pain, cramping,vaginal bleeding; highfever; light)headedness or 3+8;0" diarrhea; increased8*

o4ytocic

Nubain#Nalbuphine&

I"38.'IM

eport .3changes,physicaldependencycan resultwith long termuse;withdrawalsymptoms

Addiction;pregnany !.$

epresses painimplsetransmission atthe spinal cordlevel byinteracting withopioidreceptors

#CNS&drowsiness,di66iness, confusion,HA, sedation, euphoria#C$&palpatations,bradycardia, change inbp#**N+&tinnitus,blurred vision#'(&0" anore4ia,

+pioidanalgesic


5/8

may occur;avoid .3depressants07

'+H

constipation, cramps#'U&increased urinaryoutput, urinaryretention#(N+*'&rash#R*S!&resp

depression

+erbutaline#/rethine&

inhalant o smoking;up 1uids byB? %0day;allow minsbtwninhalation ofproduct Cinhaledproduct

containingsteroid; ifmissed, not tomake up after< hr, to waituntil ne4tdose

Hypersensitivity tosympathomimetic, closedangleglaucoma,tachydysrthymias

ela4esbronchialsmooth muscle;bronchodilation, diuresis,; .3,cardiacstimulationoccur; rela4esuterine smooth

muscle

#CNS&tremors,an4iety, insomnia, HA,di66iness, stimulation#C$&palpitations,tachycardia, H',dysrhythmias#'(&0"#M*+A&hypokalemia,hyperglycemia

#R*S!&parado4icalbronchospasm,dyspnea

3elective8?)agonist;broncho)dilator

/upivacaine#forintrathecalin".&

inj Alert if youhave asthma,diabetes,liver, kidney,heart disease,sei6ures, M2,thyroidproblems,circulations,hypo0H'

May preventpain

Aniety, depression,tinnitus, blurred vision,chest pain, fast,pounding, slow, oruneven heartbeat,trouble breathing, 0",chills, sei6ures

%ocalanesthetic

IMI"

eportincreasedblood loss,

3erum to4emia,cephalopelvicdisproportion,

Acts directly onmyo:btils,thereby

#CNS&sei6ures, tetaniccontractions#C$&hypo0H'

hormone


6/8

12ytocin#!itocin for(1L&,

abdominalcramps,feverl, foulsmellinglochia;contractions

will be similarto menstrualcramps,graduallyincreasing inintensity

fetal distress,hypertonicuterus;prolapsedumbilical cord;active gential

herpes

producinguterinecontraction;stimulates milkejection;vasoactive

antidiureticeDect

#-*+US&dysrhythmias,

jaundice, hypo4ia#'(&anore4ia, 0",constipation#'U&abrupto

placentae, decreaseduterine blood 1ow#)*MA&hyperbilirubinemia#(N+*'&rash

*rythromycin

ophthalmicoint.,

ointment

otify ofdiarrheastools, darkurine, pale

stools,jaundice ofeyes or skin

*ree4istinghepaticdisease;*regnancy !8$

8inds to >=3ribosomalsubuniys ofsusceptible

bacteria andsuppressesproteinsynthesis

#CNS& sie6ures#C$&dusrhythmias, E'prolongation#**N+&hearing loss,

tinnitus#'(& 0" diarrhea#'U& vaginitismoniliasis#(N+*'& rash

Anti)infective

)epatitis /$accine,

inj eport rash,whee6ing,inability tobreathe

.oagulationd0os; *regnancy! .$

*rovidespassiveimmunity toHep 8

#CNS& HA, di66iness,fever#'(& 0"#(N+*'&swelling

Immuneglobulin

LidocaineInjsolution

(nown historyofhypersensitivityto localanesthetics

*revent pain neven heartbeats;drowsiness0confusion;tremors, sei6ures;blurred vision

%ocalanesthetic


7/8


8/8

"accine/

"icodin

Infantliquid

'ylenol/

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