Medications for Mother and Newborn – Flashcards
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Codeine (with acetaminophen) SIDE EFFECTS
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trade name: Tylenol #3. Pain reliever, narcotic: drowsiness, sedation, vomiting, constipation, respiratory depression, urinary retention, allergic reactions, rash, urticaria
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Codeine (with acetaminophen) NURSING IMPLICATIONS
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trade name: Tylenol #3. Pain reliever, narcotic: avoid concomitant use of alcohol or other CNS system-depressant drugs; tell pt. to avoid driving or other hazardous tasks while taking these meds; warn pt. that extended use may result in dependency; avoid overdosing mother on acetaminophen.
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Oxycodone terephthalate (with acetaminophen) SIDE EFFECTS
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trade name: Percocet. Pain reliever, narcotic: drowsiness, sedation, vomiting, constipation, respiratory depression, urinary retention, allergic reactions, rash, urticaria
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Oxycodone terephthalate (with acetaminophen) NURSING IMPLICATIONS
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trade name: Percocet. Pain reliever, narcotic: avoid concomitant use of alcohol or other CNS system-depressant drugs; tell pt. to avoid driving or other hazardous tasks while taking these meds; warn pt. that extended use may result in dependency; avoid overdosing mother on acetaminophen.
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Ibuprofen SIDE EFFECTS
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trade names: Nuprin, Motrin, & Advil. NSAIDs with antipyretic and analgesic properties: heartburn, nausea, pruritis, lightheadedness, GI bleeding
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Ibuprofen NURSING IMPLICATIONS
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trade names: Nuprin, Motrin, & Advil. NSAIDs with antipyretic and analgesic properties: Give 1 hr before or 2 hrs after meals; with GI intolerance, give with meals; instruct pt. to avoid taking aspirin or acetaminophen concurrently; teach pt. to avoid alcohol intake and report GI distress or bleeding.
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Aquamephyton SIDE EFFECTS
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trade name: Vitamin K. antidote for inadequate absorption of and synthesis of vitamin K. with large dose; hyperbillirubinemia, hemolytic anemia, kernicterus.
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Aquamephyton NURSING IMPLICATIONS
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trade name: Vitamin K. antidote for inadequate absorption of and synthesis of vitamin K. Administer 0.5-1 mg IM in the middle third of infants vastus lateralis muscle of thigh after delivery. Stabilize leg firmly.
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Oxytocin SIDE EFFECTS
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trade name: Pitocin. oxytocic agent stimulates uterine contractions. MOTHER: nausea, vomiting, uterine spasms or rupture, water intoxication, seizures, cardiac arrhythmias, hypotension. FETUS: cardiac arrhythmias, CNS or brain damage
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Oxytocin NURSING IMPLICATIONS
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trade name: Pitocin. oxytocic agent stimulates uterine contractions. CAREFULLY MONITOR I & O, fetal heart tones, and length, duration, and force of uterine contractions.
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Methylergonovine SIDE EFFECTS
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trade name: Methergine. oxytocic agent stimulates uterine contractions, used to control postpartum bleeding. Headache, dizziness, nausea, chest pain, tachycardia, hypertension
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Methylergonovine NURSING IMPLICATIONS
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trade name: Methergine. oxytocic agent stimulates uterine contractions, used to control postpartum bleeding. Contraindicated in pts. sensitive to ergot derivatives.
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Simethicone SIDE EFFECTS
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trade name: Mylicon. antiflatulent. No side effects noted
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Simethicone NURSING IMPLICATIONS
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trade name: Mylicon. antiflatulent. Instruct pt. to chew tablet thoroughly before swallowing; give with meals
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Rho(D) Immuno Globulin SIDE EFFECTS
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trade name: RhoGAM. Gamma globulin solution containing IgG; provides passive immunity by suppressing antibody response and formation of anti-Rh(D) in Rh-neg pt. exposed to Rh-pos. blood. INJECTION SITE IRRITATION; SLIGHT FREVER AND LETHARGY
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Rho(D) Immuno Globulin NURSING IMPLICATIONS
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trade name: RhoGAM. Gamma globulin solution containing IgG; provides passive immunity by suppressing antibody response and formation of anti-Rh(D) in Rh-neg pt. exposed to Rh-pos. blood. CHECK LOT #, ADMINISTER IM ONLY TO MOTHER, USING DELTOID MUSCLE WITHIN 72 HRS OF PREGNANCY TERMINATION.
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Rubella vaccine SIDE EFFECTS
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Live virus vaccine. Rash , joint pain, pain at site. DOES NOT harm breastfeeding mothers.
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Rubella vaccine NURSING IMPLICATIONS
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Live virus vaccine. administer IM in deltoid muscle during postpartum period; warn pt. to avoid pregnancy for at least 3 months. OBTAIN INFORMED CONSENT.
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Purified Lanolin cream SIDE EFFECTS
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retains the skin's natural moisture and protects the mother's nipple from further abrasions. NONE. does NOT need to be washed off for the next feeding
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Purified Lanolin cream NURSING IMPLICATIONS
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retains the skin's natural moisture and protects the mother's nipple from further abrasions. Applied to the mother's nipple. Mother's with a history of wool allergy should not use lanolin before a skin test can be done.
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Benzocaine SIDE EFFECTS
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trade name: Dermaplast. local anesthetic that inhibits conduction of nerve impulses from sensory nerves, temporarily reducing perception of local discomfort. URTICARIA, EDEMA, CONTACT DERMATITIS
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Benzocaine NURSING IMPLICATIONS
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trade name: Dermaplast. local anesthetic that inhibits conduction of nerve impulses from sensory nerves, temporarily reducing perception of local discomfort. cleanse area with clear, warm water after each trip to the toilet. Hold pray 6-12inches from affected area and spray liberally. Use up to four times a day.
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ERYTHROMYCIN SIDE EFFECTS
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ophthalmic antibiotic agent. Irritation of the eye lasts 24-48 hours. Vision may be blurred temporarily.
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ERYTHROMYCIN NURSING IMPLICATIONS
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ophthalmic antibiotic agent. Apply to conjunctival sacs of baby. Wear gloves. cleanse eye first, if necessary. Spread the ointment from the inner canthus to the outer canthus on lower lid. Do not touch the tube to the eye. After 1 minute, wipe off excess ointment. Observe eye for irritation.
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Dibucaine ointment SIDE EFFECTS
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trade name: Nupercainal. topical anesthetic. allergic reactions, burning, stinging
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Dibucaine ointment NURSING IMPLICATIONS
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trade name: Nupercainal. topical anesthetic. Instruct mother that it is for external use only (application to severely deluded tissue may result in systemic absorptions)
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Witch hazel SIDE EFFECTS
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trade name: Tucks pads, cream. Astringent. local irritation.
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Witch hazel NURSING IMPLICATIONS
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trade name: Tucks pads, cream. Astringent. Instruct mother that it is for external use only; use for relief of perineal discomfort.
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Vitamin, prenatal SIDE EFFECTS
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trade name: Materna, vitamin supplement. Nausea, vomiting
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Vitamin, prenatal NURSING IMPLICATIONS
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trade name: Materna, vitamin supplement. tell pt. it is important that pregnant women take prenatal vitamins and not regular vitamin supplements and that prenatal vitamins contain extra folic acid, which is needed for normal fetal development.
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Penicillin ACTION
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Used for group B strep. Administer after culture is completed.
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Penicillin SIDE EFFECTS
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Interferes with contraception usage.
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Penicillin IMPLICATIONS
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Assess for allergies; hypersensitivity reaction may be delayed. Assess respiratory system for abnormalities such as rate, status, character, any tightness in chest.
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Nifedipine ACTION
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trade name: Procardia relaxes smooth muscles (tocolytic) Inhibits uterine contractions in preterm labor. Not approved by FDA for inhibiting uterine activity, although it is widely used for this purpose.
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Nifedipine SIDE EFFECTS
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trade name: Procardia most frequent side effects: nervousness, restlessness, tremor,
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Nifedipine IMPLICATIONS
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trade name: Procardia Explain common side effects, which are usually well tolerated. Assess FHR, usually with continuous fetal monitoring. Assess maternal pulse, respirations and BP by same schedule as for FHR. Maintain adequate hydration. Encourage pt to urinate q 2hrs. Report any significant or unacceptable side effects. Repeat continuing or recurrent uterine activity. Teach S&S of recurrent or preterm labor band follow-up medical care after discharge.
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Terbutaline ACTION
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trade name: Brethine. Stimulates beta-adrenergic receptors of sympathetic nervous system. Results primarily in bronchodilation and inhibition of uterine muscle activity. Increases pulse rate and widens pulse pressure.
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Terbutaline SIDE EFFECTS
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trade name: Brethine Maternal and fetal tachycardia, palpitations, cardiac arrhthymias, chest pain, wide pulse pressure, dyspnea, tremors, weakness, dizziness, headache, hyperglycemia, nausea, vomiting, skin flushing and diaphoresis.
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Terbutaline IMPLICATIONS
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trade name: Brethine Explain common side effects, which are usually well tolerated. Assess FHR, usually with continuous fetal monitoring. Assess maternal pulse, respirations and BP by same schedule as for FHR. Maintain adequate hydration. Encourage pt to urinate q 2hrs. Report any significant or unacceptable side effects. Repeat continuing or recurrent uterine activity. Teach S&S of recurrent or preterm labor band follow-up medical care after discharge.
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Hepatitis B Immune Globulin
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HBIG no longer given at birth while still in the hospital, but in the Dr's office as prescribed by the HCP
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Naloxone hydrochloride ACTION
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trade name: Narcan Reverses CNS and respiratory depression caused by narcotics (opiates) Competes with narcotics at receptor sites.
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Naloxone hydrochloride SIDE EFFECTS
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trade name: Narcan if given to an infant of a mother addicted to drugs, causes withdrawal and may cause seizures
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Naloxone hydrochloride IMPLICATIONS
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trade name: Narcan Prepare the syringe before birth by drawing up more than is needed. After birth remove excess from syringe and give the amount according to the estimate of the infant's weight. Inject rapidly. Monitor response and be prepared to give repeated dose if necessary. Use resuscitation measures as necessary.
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( MgSO4) Magnesium sulfate ACTION
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Magnesium ( MgSO4) sulfate decreases acetylcholine in motor nerve terminals, which is responsible for seizure prevention in eclampsiaq and preeclampsia
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( MgSO4) Magnesium sulfate SIDE EFFECTS
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Magnesium sulfate ( MgSO4) Diarrhea r/t Mg levels: with >3 mg/dL, depressed CNS, block neuromuscular transmission leading to anticonvulsive effects; with >5mg/dL, depressed deep tendon reflexes; with >12.5 mg/dL, respiratory paralysis.
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( MgSO4) Magnesium sulfate IMPLICATIONS
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Magnesium sulfate ( MgSO4) obtain V/S q 15 min after IV dose, do NOT exceed 150 mg/min; monitor cardiac function; time contractions and monitor fetal heart rate; monitor I&O (should remain equal to or greater than 30mL/hr.)
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Ritodrine hydrochloride ACTION
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trade name: Yutopar Uterine beta- adrenergic receptor-stimulating effect, which reduces uterine contractions.
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Ritodrine hydrochloride SIDE EFFECTS
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trade name: Yutopar Erythema, rash, dyspnea, hyperglycemia, headache, restlessness, anxiety, chills, tremor, nausea, vomiting, diarrhea, constipation, altered maternal and fetal heart rates
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Ritodrine hydrochloride IMPLICATIONS
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trade name: Yutopar being used less and less frequently. Monitor maternal and fetal heart tones during infusion; watch intensity and length of uterine contractions; monitor fluid intake to prevent overload; monitor blood glucose level in diabetic patients.
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Hydralazine ACTION
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trade name: Apresoline Arterial vasodilator
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Hydralazine SIDE EFFECTS
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trade name: Apresoline. Headache, flushing, tachycardia
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Hydralazine IMPLICATIONS
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trade name: Apresoline. Assess for tachycardia, hypotension, urinary output; maintain bed rest.
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Valacyclovir (converts to acyclovir) ACTION
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trade name: Valtrex Antiviral
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Valacyclovir (converts to acyclovir) SIDE EFFECTS
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trade name: Valtrex Topical: stinging, burning, rash pruitits. Systemic: headache seizures, renal toxicity, phlebitis at IV site.
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Valacyclovir (converts to acyclovir) IMPLICATIONS
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trade name: Valtrex Topical: Use gloves to apply cover lesions completely. Systemic: ensure adequate hydration to prevent crystallization in kidneys; give IV dose for 1 hr.
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Colfosceril palmitrate ACTION
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trade name: Exosurf SYNTHETIC Lung surfactant replaces natural inflation and prevents lung collapse; used to treat and prevent respiratory distress syndrome in premature neonates.
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Colfosceril palmitrate SIDE EFFECTS
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trade name: Exosurf SYNTHETIC Lung surfactant Apnea, pulmonary hemorrhage, pulmonary air leak
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Colfosceril palmitrate IMPLICATIONS
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trade name: Exosurf SYNTHETIC Lung surfactant administer endotracheally only; suction before administration (drug may reflux into endotracheal tube during administration); slow or stop administration until tube is clear.
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Beractant ACTION
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trade name: Survanta NATURAL Lung surfactant replaces natural inflation and prevents lung collapse; used to treat and prevent respiratory distress syndrome in premature neonates.
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Beractant SIDE EFFECTS
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trade name: Survanta NATURAL Lung surfactant transient bradycardia, oxygen desaturation, hypotension, apnea
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Beractant IMPLICATIONS
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trade name: Survanta NATURAL Lung surfactant administer endotracheally only; suction before administration (drug may reflux into endotracheal tube during administration); slow or stop administration until tube is clear.
