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Flashcards

OB Meds

Yean Ji Jung OB & Peds Inglês 50 flashcards

Flashcards do conjunto (50)

  1. 1Calcium GluconateKalcinate
  2. 2ClassificationMineral and electrolyte replacement/ supplement
  3. 3IndicationsTreat hypocalcemia
    Antidote for magnesium sulfate
  4. 4Dosage ranges / route /parameters1 g IV over 3 minutes for mag toxicity. Repeated doses may be necessary.
  5. 5RationaleMagnesium sulfate toxicity
  6. 6Mechanism of actionsMaintains cell membrane and capillary permeability. Acts as an activator in the transmission of nerve impulses and contraction of cardiac, skeletal, and smooth muscle.
  7. 7ContraindicationsHypercalcemia; Ventricular fibrillation; Renal calculi; Respiratory insufficiency
  8. 8Adverse effectsHeadache, Phlebitis
    Tingling, Syncope
    Cardiac arrest, Arrhythmias
    Constipation
    Calculi, Hypercalcuria
  9. 9Nursing considerations/ Client educationAssess IV site for patency.
    Warm solution to body temperature.
    PT to remain recumbent for 30-60 min after admin.
    Administer slowly.
  10. 10EfficacyMonitor fluid and electrolytes, albumin, and parathyroid hormone before and during therapy.
  11. 11NalbuphineNubain
  12. 12Classificationopioid analgesics
    opioid agonists
  13. 13IndicationsModerate to severe pain.
    Analgesia during labor
  14. 14Dosage ranges/route/parametersIM, Subcut, IV: Usual dose is 10 mg q3-6hr (maximum is 20 mg/dose or 160 mg/day)
  15. 15RationaleDecrease labor pains
  16. 16Mechanism of actionBinds to opiate receptors in CNS. Alters perception of to painful stimuli while depressing CNS.
  17. 17ContraindicationsPTs physically dependent on opioids
    Severe hepatic, renal, or pulmonary disease
    Can cause respiratory depression in newborn
  18. 18Adverse effectsSedation, dizziness
    Clammy feeling, sweating
    Tolerance, dependence
    Dry mouth, N/V
  19. 19Nursing considerations/ Client educationAssess previous analgesic history
    Avoid long term use
    Narcan is antidote
    Can cause orthostatic hypotension
    Assess vitals
  20. 20EfficacyDecreased pain levels without altered levels of consciousness or respiratory status.
  21. 21NaloxoneNarcan
  22. 22ClassificationAntidotes
    opioid antagonists
  23. 23IndicationsReversal of CNS depression and respiratory depression because of opioid overdose
  24. 24Dosages ranges/route/parametersIV, IM, Subcut for opioid naive: 0.4 mg; may repeat q2-3 min.
  25. 25RationaleOpioid overdose
  26. 26Mechanism of actionsCompetitively blocks effects of opioids without producing opioid like effects
  27. 27ContraindicationHypersensitivity
    PTs dependent on opioids
  28. 28Adverse effectsVentricular arrhythmias
    Hypertension
    Hypertension
    N/V
  29. 29Nursing considerations / Client educationsMonitor respiratory rate, BP, and level of consciousness frequently 3-4 hrs after peak.
    Assess for signs of opioid withdrawal and level of pain.
  30. 30EfficacyAdequate ventilation
    Alertness without significant pain or withdrawal symptoms.
  31. 31NifedipineAfeditab CR, Procardia
  32. 32Classificationantianginals, antihypertensives
    Calcium channel blockers
  33. 33IndicationsManagement of hypertension
  34. 34Dosage ranges/ route / parametersPO: 10-30 mg 3 times daily. Not to exceed 180 mg/day
  35. 35RationaleLower BP
  36. 36Mechanism of actionInhibits calcium transport into myocardial and vascular smooth muscle cells, resulting in inhibition of excitation-contraction coupling and subsequent contraction.
  37. 37ContraindicationsSystolic BP <90 mmHg
    Coadministration wtih grapefruit juice, rifampin, phenobarbital
  38. 38Adverse effectsHeadache, peripheral edema
    Flushing, brady/tachycardia
    Hypotension, epistaxis
    Stevens -Johnson syndrome
  39. 39Nursing considerations / Client educationMonitor BP and pulse before and during
    Monitor I&O and daily weight
    Monitor for rash
    Avoid grapefruit and change positions slowly
    Photosensitivity
  40. 40EfficacyDecrease in BP
  41. 41Magnesium sulfateMagnesium sulfate
  42. 42ClassificationMineral and electrolyte replacement/supplements
  43. 43IndicationsPrevention of seizures associated with severe eclampsia, pre- eclampsia, or acute nephritis.
  44. 44Dosage ranges / route / parametersIV, IM: 4-5 g by IV infusion, concurrently with up to 5 g IM in each buttock. Then 4-5 g IM q4 hr
    Not to exceed 40g/day
  45. 45RationalePrevention of seizures in pre-eclamptic patients
  46. 46Mechanism of actionPlays an important role in neurotransmitter and muscular excitability
  47. 47ContraindicationHypermagnesemia, Hypocalcemia
    Avoid using for more than 5-7 days for preterm labor.
    Avoid continuous use during active labor or within 2 hr of delivery.
  48. 48Adverse effectsDiarrhea, drowsiness, decreased respiratory rate, arrhythmias, bradycardia, hypotension, muscle weakness, hypothermia
  49. 49Nursing considerations / Client educationMonitor pulse, BP, and respirations, and neuro status.
    Initiate seizure precautions
    Monitor newborn from hypotension, hyporeflexia and respiratory depression.
    Monitor I&O
  50. 50EfficacyControl of seizures associated with toxemias of pregnancy.

Informações

Descrição
OB & Peds FlashCards sobre OB Meds , criado por Yean Ji Jung em 28-06-2020.
Criado por
Yean Ji Jung · jun 2020
Atualizado
29 jun 2020
Visualizações
2
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