Obstetric Medications Essay

Submitted By alancox2308
Words: 4845
Pages: 20
Open Document
Southeastern Louisiana University
College of Nursing & Health Sciences
School of Nursing
Nursing Lab 473
MEDICATION FORM
Medication Name/Dose
Medication Classification
Mechanism of Action

Why is your pt. receiving the med?
Common Side Effects
Drug Interactions
PRIORITY
Nursing Implications/Concerns and Pertinent Labs
Brand:
Benadryl

Generic:
Diphenhydramine
Antihistamine, H1, Sedating
An ethanolamine that competitively blocks the effects of histamine at peripheral H1 receptor sites
Produces anticholinergic, antipruritic, antitussive, antiemetic, antidyskinetic, and sedative effects.

Decreases itching after receiving epidural or narcotic.
Somnolence, dizziness, muscle weakness, hypotension, urine retention, thickening of bronchial secretions, dry mouth, nose, throat, or lips

Overdose symptoms (CNS depression): sedations, apnea, hypotension, cardiovascular collapse, and death to severe paradoxical reactions, such as hallucinations, tremor, and seizures.
.
Alcohol, other CNS depressants: may increase depressant effect.
Anticholinergics: may increase anticholinergic effects
CYP2D6 substrates: levels of substrates may be increased
MAOIs: may increase anticholinergic and CNS depressant effects.
Crosses the placenta and appears in breast milk.

Not recommended for neonates or premature infants.

Monitor respiratory rate, depth, and rhythm; pulse rate and quality; blood pressure; and therapeutic response. Will suppress skin allergy testing.
Brand:
Brethine

Generic:
Terbutaline
Beta adrenergic agent

Bronchodilator

0.25mg SQ every 15 minutes for 45 minutes

PO dose 2.5-5mg
Relaxes smooth muscles, inhibiting uterine activity and causing bronchodilation
Used in pregnancy to stop preterm labor

Indicated as an antidote for Pitocin

Smooth muscle relaxant – the uterus is a smooth muscle so it will work almost instantly
Tachycardia, increased respirations, flushing, palpitations, tremors, headache, N/V, hypokalemia, ketonuria, altered glucose metabolism, fetal tachycardia
None known.
One on one patient care

Use subcutaneous pump if necessary for continuous subcutaneous therapy

Continuous monitoring of uterine activity and contractions and fetal heart monitoring.

SQ, small amount, potent (0.25mg=0.25mL)

Hold if heart rate is above 120BPM

Give does every 15 minutes x3 if contractions have not gone away – check HR between each dose

May send patient home on PO Brethine to maintain uterine relaxation, teach S/S of preterm labor.
Generic:
Bupivacaine

Brand:
Marcaine
Local anesthetic
An amide-type anesthetic that stabilizes neonatal membranes and prevents initiation and transmission of nerve impulses, thereby effecting local anesthetic actions.
Produces local analgesia

Indications: epidural analgesic, spinal anesthesia

Produces rapid pain relief by blocking the nerve thereby decreasing the perception of pain. Causes vasodilation, loss of motor control in lower extremities, and loss of bladder control.
CNS depression, Hypotension, bradycardia, palpitations, respiratory depression, dizziness, headache, N/V, restlessness, weakness, blurred vision, tinnitus, apnea.

Effects may last one hour postpartum

S/S of hypotension – nauseated, pale, diminished color, feel the need to vomit
Angiotensin-converting enzyme inhibitors: may increase risk of bradycardia and hypotension as well as loss of consciousness.
Beta blockers, MAOIs, TCAs, vasopressors: may increase the risk of bupivacaine toxicity.
Propofol: may increase hypnotic effect
Ropivicaine: may prolong effect of intrathecal bupivacaine.
Verapamil: may increase risk of heart block
No known diagnostic effects.

Only concentrations lower than 0.75% should be used for obstetrical anesthesia.

May cause severe disturbances of cardiac rhythm, shock, or heart block after spinal anesthesia.
Monitor for arrhythmias.

Fetal bradycardia frequently follows obstetrical paracervical block with some amide-type local anesthetics and may be associated with fetal acidosis.

Only use
Show More

Related Documents: Obstetric Medications Essay

Postpartum Blood Loss: A Case Study

quantitative value. Once out of the providers direct care the patients nurse continues to monitor blood loss by simply visually estimating how much blood has soaked into the patient’s maternity pad. According to the Association of Women’s Health, Obstetrics, and Neonatal Nurses (AWHONN) (2015), visual estimation can underestimate actual blood loss leading to the delay of life-saving interventions. Delayed intervention and failure to recognize blood loss are…

Words 925 - Pages 4

Avoiding Intricacies That Constitutes a Medical Malpractice Essay examples

injury or death to a patient. In most cases, medical malpractice or negligence involves a medical error. The error will manifest in diagnosis, health management, medication dosage, treatment or aftercare. The error may result from acts of omission or a negligent act. Examples of hospital errors included: wrong dosage and medication, leaving foreign materials inside the patient's body after surgery, erroneous diagnosis, unnecessary and faulty operations, and poor aftercare on surgeries, among…

Words 1937 - Pages 8

Nursing: Childbirth Essay

birthing in a hospital. Michel Odnt (M.D) a medical doctor who was interviewed for the documentary states, “Unfortunately, the role of obstetrics has never been to help women give birth. There is a big difference between the medical discipline we call obstetrics and something completely different, the art of midwifery. If we want to find safe alternatives to obstetrics, we must rediscover midwifery” (Lake, 2008). The documentary explores the dynamic of hospital vs. home birthing; it is easy to see why…

Words 1617 - Pages 7

The Benefits Of Exercise During Pregnancy Essays

The Benefits of Exercise during Pregnancy Kelsey Lambert Brigham Young University The Benefits of Exercise during Pregnancy Introduction The American Congress of Obstetricians and Gynecologists states, “in the absence of either medical or obstetric complications, 30 minutes or more of moderate exercise a day on most, if not all, days of the week is recommended for pregnant women” (Women's Health Care Physicians, 2009, line 6 - 8). But, what are the benefits for pregnant women who exercise?…

Words 1898 - Pages 8

Prenatal Care Case Study

o Beliefs of hot and cold therapy o Tirar el cuerito may be used (where one pulls the skin on the back of the sick person) o Herbal medication is used in certain regions of Argentina • Describe the setting for the majority of births in your country. o Majority of births occurred/delivered in a hospital setting or home • What risk factors could impact the birth process? o Birth defects…

Words 503 - Pages 3

Childbirth and Reflective Practice Narrative Essay

and relaxation exercises as she is applying it while in labour, and she is confident of not taking pain medications. Studies have shown the “benefits of prenatal classes have included increased confidence for labor and birth among women who attended prenatal classes, higher likelihood of breastfeeding, improved communication between childbearing women and decreased need for analgesic medications” (Stoll, & Hall, 2012, p. 230). Moreover, the birthing ball provides comfort for the client and helps her…

Words 658 - Pages 3

Essay on To Trend or Not to Trend?

To Trend or Not to Trend? Two decades ago Cesarean sections (C-sections) were only performed because of previous cesarean delivery, breech presentation, dystocia, fetal distress, and other emergencies (Tafel et al. 957), now commonly known as emergency C-sections. This widely considered timely operation might have caused the rate of women undergoing C-sections to increase (Beydoun, 334). Since 1965, national U.S. C-section rate rose from 4% to the current 32.8% (Martin et al. 10). Along with…

Words 5104 - Pages 21

Nurse Practitioner Research Paper

specific types of practice such as pediatrics, psychiatry, or obstetrics. Some establish private practices; however, most work in doctors' offices, hospitals, or neighborhood health centers. Their duties often include taking detailed medical histories and performing complete physical exams, providing diagnoses and recommending treatment plans, treating common medical conditions, illnesses, and injuries, prescribing limited medications, and counseling patients and families. They also care…

Words 1065 - Pages 5

Birth Control Research Paper

impacts include interactions with medications like rifampin and increased risk of blood clots, emphasizing the importance of medical supervision. Greenwald addresses that many argue that there could be an additional warning label, however the warnings will not be sufficient for addressing all potential risks. Significant side effects, such as mood swings and depression, are included in taking birth control and require medical consultation to properly manage the medication. Financial benefits, while important…

Words 2567 - Pages 11

North Carolina Case Study

1 Law and Policies of North Carolina Miranda Hall BSHS/332 Dr. S. April 29, 2012 2 Laws and Policies of North Carolina Children’s statutory code North Carolina Division of Social Services Family Services Manual Volume I: Children's Services Chapter VIII: Child Protective Services http://info.dhhs.state.nc.us/olm/manuals/dss/csm-60/man/CS1404.pdf North Carolina code, laws, and policy has in place procedures that will ensure the child’s safety. When a child’s residence…

Words 724 - Pages 3