Medications for Mother and Newborn

question

Codeine (with acetaminophen) SIDE EFFECTS
answer

trade name: Tylenol #3. Pain reliever, narcotic: drowsiness, sedation, vomiting, constipation, respiratory depression, urinary retention, allergic reactions, rash, urticaria
question

Codeine (with acetaminophen) NURSING IMPLICATIONS
answer

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.
question

Oxycodone terephthalate (with acetaminophen) SIDE EFFECTS
answer

trade name: Percocet. Pain reliever, narcotic: drowsiness, sedation, vomiting, constipation, respiratory depression, urinary retention, allergic reactions, rash, urticaria
question

Oxycodone terephthalate (with acetaminophen) NURSING IMPLICATIONS
answer

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.
question

Ibuprofen SIDE EFFECTS
answer

trade names: Nuprin, Motrin, & Advil. NSAIDs with antipyretic and analgesic properties: heartburn, nausea, pruritis, lightheadedness, GI bleeding
question

Ibuprofen NURSING IMPLICATIONS
answer

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.
question

Aquamephyton SIDE EFFECTS
answer

trade name: Vitamin K. antidote for inadequate absorption of and synthesis of vitamin K. with large dose; hyperbillirubinemia, hemolytic anemia, kernicterus.
question

Aquamephyton NURSING IMPLICATIONS
answer

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.
question

Oxytocin SIDE EFFECTS
answer

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
question

Oxytocin NURSING IMPLICATIONS
answer

trade name: Pitocin. oxytocic agent stimulates uterine contractions. CAREFULLY MONITOR I & O, fetal heart tones, and length, duration, and force of uterine contractions.
question

Methylergonovine SIDE EFFECTS
answer

trade name: Methergine. oxytocic agent stimulates uterine contractions, used to control postpartum bleeding. Headache, dizziness, nausea, chest pain, tachycardia, hypertension
question

Methylergonovine NURSING IMPLICATIONS
answer

trade name: Methergine. oxytocic agent stimulates uterine contractions, used to control postpartum bleeding. Contraindicated in pts. sensitive to ergot derivatives.
question

Simethicone SIDE EFFECTS
answer

trade name: Mylicon. antiflatulent. No side effects noted
question

Simethicone NURSING IMPLICATIONS
answer

trade name: Mylicon. antiflatulent. Instruct pt. to chew tablet thoroughly before swallowing; give with meals
question

Rho(D) Immuno Globulin SIDE EFFECTS
answer

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
question

Rho(D) Immuno Globulin NURSING IMPLICATIONS
answer

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.
question

Rubella vaccine SIDE EFFECTS
answer

Live virus vaccine. Rash , joint pain, pain at site. DOES NOT harm breastfeeding mothers.
question

Rubella vaccine NURSING IMPLICATIONS
answer

Live virus vaccine. administer IM in deltoid muscle during postpartum period; warn pt. to avoid pregnancy for at least 3 months. OBTAIN INFORMED CONSENT.
question

Purified Lanolin cream SIDE EFFECTS
answer

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
question

Purified Lanolin cream NURSING IMPLICATIONS
answer

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.
question

Benzocaine SIDE EFFECTS
answer

trade name: Dermaplast. local anesthetic that inhibits conduction of nerve impulses from sensory nerves, temporarily reducing perception of local discomfort. URTICARIA, EDEMA, CONTACT DERMATITIS
question

Benzocaine NURSING IMPLICATIONS
answer

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.
question

ERYTHROMYCIN SIDE EFFECTS
answer

ophthalmic antibiotic agent. Irritation of the eye lasts 24-48 hours. Vision may be blurred temporarily.
question

ERYTHROMYCIN NURSING IMPLICATIONS
answer

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.
question

Dibucaine ointment SIDE EFFECTS
answer

trade name: Nupercainal. topical anesthetic. allergic reactions, burning, stinging
question

Dibucaine ointment NURSING IMPLICATIONS
answer

trade name: Nupercainal. topical anesthetic. Instruct mother that it is for external use only (application to severely deluded tissue may result in systemic absorptions)
question

Witch hazel SIDE EFFECTS
answer

trade name: Tucks pads, cream. Astringent. local irritation.
question

Witch hazel NURSING IMPLICATIONS
answer

trade name: Tucks pads, cream. Astringent. Instruct mother that it is for external use only; use for relief of perineal discomfort.
question

Vitamin, prenatal SIDE EFFECTS
answer

trade name: Materna, vitamin supplement. Nausea, vomiting
question

Vitamin, prenatal NURSING IMPLICATIONS
answer

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.
question

Penicillin ACTION
answer

Used for group B strep. Administer after culture is completed.
question

Penicillin SIDE EFFECTS
answer

Interferes with contraception usage.
question

Penicillin IMPLICATIONS
answer

Assess for allergies; hypersensitivity reaction may be delayed. Assess respiratory system for abnormalities such as rate, status, character, any tightness in chest.
question

Nifedipine ACTION
answer

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.
question

Nifedipine SIDE EFFECTS
answer

trade name: Procardia most frequent side effects: nervousness, restlessness, tremor,
question

Nifedipine IMPLICATIONS
answer

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.
question

Terbutaline ACTION
answer

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.
question

Terbutaline SIDE EFFECTS
answer

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.
question

Terbutaline IMPLICATIONS
answer

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.
question

Hepatitis B Immune Globulin
answer

HBIG no longer given at birth while still in the hospital, but in the Dr’s office as prescribed by the HCP
question

Naloxone hydrochloride ACTION
answer

trade name: Narcan Reverses CNS and respiratory depression caused by narcotics (opiates) Competes with narcotics at receptor sites.
question

Naloxone hydrochloride SIDE EFFECTS
answer

trade name: Narcan if given to an infant of a mother addicted to drugs, causes withdrawal and may cause seizures
question

Naloxone hydrochloride IMPLICATIONS
answer

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.
question

( MgSO4) Magnesium sulfate ACTION
answer

Magnesium ( MgSO4) sulfate decreases acetylcholine in motor nerve terminals, which is responsible for seizure prevention in eclampsiaq and preeclampsia
question

( MgSO4) Magnesium sulfate SIDE EFFECTS
answer

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.
question

( MgSO4) Magnesium sulfate IMPLICATIONS
answer

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.)
question

Ritodrine hydrochloride ACTION
answer

trade name: Yutopar Uterine beta- adrenergic receptor-stimulating effect, which reduces uterine contractions.
question

Ritodrine hydrochloride SIDE EFFECTS
answer

trade name: Yutopar Erythema, rash, dyspnea, hyperglycemia, headache, restlessness, anxiety, chills, tremor, nausea, vomiting, diarrhea, constipation, altered maternal and fetal heart rates
question

Ritodrine hydrochloride IMPLICATIONS
answer

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.
question

Hydralazine ACTION
answer

trade name: Apresoline Arterial vasodilator
question

Hydralazine SIDE EFFECTS
answer

trade name: Apresoline. Headache, flushing, tachycardia
question

Hydralazine IMPLICATIONS
answer

trade name: Apresoline. Assess for tachycardia, hypotension, urinary output; maintain bed rest.
question

Valacyclovir (converts to acyclovir) ACTION
answer

trade name: Valtrex Antiviral
question

Valacyclovir (converts to acyclovir) SIDE EFFECTS
answer

trade name: Valtrex Topical: stinging, burning, rash pruitits. Systemic: headache seizures, renal toxicity, phlebitis at IV site.
question

Valacyclovir (converts to acyclovir) IMPLICATIONS
answer

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.
question

Colfosceril palmitrate ACTION
answer

trade name: Exosurf SYNTHETIC Lung surfactant replaces natural inflation and prevents lung collapse; used to treat and prevent respiratory distress syndrome in premature neonates.
question

Colfosceril palmitrate SIDE EFFECTS
answer

trade name: Exosurf SYNTHETIC Lung surfactant Apnea, pulmonary hemorrhage, pulmonary air leak
question

Colfosceril palmitrate IMPLICATIONS
answer

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.
question

Beractant ACTION
answer

trade name: Survanta NATURAL Lung surfactant replaces natural inflation and prevents lung collapse; used to treat and prevent respiratory distress syndrome in premature neonates.
question

Beractant SIDE EFFECTS
answer

trade name: Survanta NATURAL Lung surfactant transient bradycardia, oxygen desaturation, hypotension, apnea
question

Beractant IMPLICATIONS
answer

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.

Get instant access to
all materials

Become a Member