OB Drug Cards – Flashcards
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Folic Acid
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As a medication, folic acid is used to treat folic acid deficiency and certain types of anemia (lack of red blood cells) caused by folic acid deficiency. Dosage:Women of childbearing age, pregnant, and lactating women: 800 mcg orally, intramuscularly, subcutaneously or IV once a day. Side effects:nausea, bloating, gas, unpleasant taste in mouth, depression Nursing implications:Take folic acid exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label. Take folic acid with a full glass of water.
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Brethine
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Generatic-Terbutaline Sulfate Contraindications-Any serious materal heart or problems Dose-oral, subq Route-2.5-5mg every 6hrs x 3 Class-Beta 2, Broncholdilator Effects-tachyarrhythmia,Ha,Seizure Nursing implications- Watch for increase HR, palpations, seizures
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Celestone
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Generatic-Betamethasone Contraindications-systemic fungal infections Dose-12mg Route-IM,IV Class-Adrenal Glucocorticoid Effects-HTN, infection Nursing implications-will decrease immune system. no vaccines, may cause weight gain, fatigue
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Labetalol
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Generatic-Labetalol Hydrochloride Contraindications-brady, asthma, cardiac failure,heart block Dose-200mg Route-IV Class-alpha/beta-adrenergic blocker Effects-hypotension, nausea, dizziness Nursing implications-reasses b/p
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Magnesium Sulfate
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Generatic-mag sulfate Contraindications-resp depression, heart block,MI Dose-4-5gms Route-IV,IM Class-anti-inflammatory Effects-hypotension, resp depression, cns depressant Nursing implications-resp,seizures,reflexes
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Procardia
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Generatic-Nifedipine Contraindications-cardiogenic shock, rifampin,adalat Dose-30-60mg Route-IV,PO Class-Calicum channel blocker Effects-sob,nausea,hypotension Nursing implications-no grapefruit juice,liver function, vitals
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Ampicillin
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Generatic-ampicillin Contraindications-infections due to PCN Dose-500mg Route-PO Class-antibiotic Effects-Urticaria, rash, diarrhea Nursing implications-CBC, follow up culture,liver function
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Ceftin
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Generatic- Cefuroxime Axetil Contraindications-hypersensitivity Dose-250-500 Route-PO Class-Cephalosporin,antibiotic Effects-diarrhea, nausea, vomiting,vaginitis Nursing implications-fever, cbc,renal functions
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Clindamycin
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Generatic-CLindamycin Phosphate Contraindications-colitis Dose-1200-2700mg Route-IV,PO,IM Class-antibioic Effects-diarrhea,decrease liver Nursing implications-cbc,liver,kidney
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Cytotec
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Generatic-Misoprostol Contraindications-hypersensitivity Dose-50mcg Route-PO Class-Endocrine-metabolic agent,prostaglandin Effects-cardiac dysrhythmia,chest pain,toxic shock syndrome Nursing implications-CBC
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Demerol
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Generatic-Meperidine Hydrochloride Contraindications- on MAOI Dose-50-100mg Route-IM,subQ,IV Class-Analgesic,opioid Effects-nausea,vomiting,hypotension,resp depression Nursing implications-resp,bp,pain reduction
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Dilaudid
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Generatic-Hydromorphone Contraindications-asthma,resp depression, Dose-.5-1mg Route-IV,Im Class-analgesic Effects-resp depression,hypotension,apnea Nursing implications-watch resp depression,hypotension
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Hemabate
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Generatic-Carboprost Tromethamine Contraindications-acute pelvic inflamm.,cardiac,renal Dose-250mcg Route-IM Class-Endocrine-metabolic,prostaglandin Effects-diarrhea,ha,dystonia,pul edema Nursing implications-post pardum hemorrhage, cbc
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Keflex
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Generatic-Cephalexin Contraindications-hypersen Dose-500mg Route-PO Class-1st generation cephalosporin,antibiotic Effects-diarrhea,steven johnsons,renal failure Nursing implications-fever,cbc,renal functions
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Methergine
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Generatic-Methylergonovine maleate Contraindications-HTN,preg,toxemia Dose-0.2mg Route-IV,IM Class-ergot alkaloid Effects-HTN,MI,seizure,HA Nursing implications-bp,hemorrhage
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Morphine
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Generatic-MS Contraindications-resp depression, asthma,hypotension Dose-5-10mg Route-IV,PO,IM Class-Opioid,analgesic Effects-resp depression, hypotension Nursing implications-monitor resp & Hypersensitivity, addiction (opioid), hemorrhage, bronchial asthma, increased ICP. Pregnancy C, breastfeeding, children <18 yr, geriatric, addictive personality, acute MI, severe heart disease, respiratory depression, renal/hepatic disease, bowel impaction
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Nubain
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Generatic- Nalbuphine hydrochloride Contraindications-hypersen Dose-10mg Route-Sub Q,IV,IM Class-Opioid,analgesic Effects-N/V, seizure,pul edema Nursing implications-pain reduction, resp
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Pepcid
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Generatic-Famotidine Contraindications-hypersen Dose-40-60mg Route-IV,PO Class-Gastic acid secretion inhibitor,H2 antagonist Effects-constipation,dizzy,stevens johnsons Nursing implications-cbc,
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Phenergan
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Generatic-Promethazine Hydrochloride Contraindications-lower resp, Dose-12.5-25mg Route-IV,IM Class-gastrointestinal agent Effects-N/V,CNS depressant Nursing implications-hydration level, bp,n/v
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Pitocin
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Generatic-Oxytocin Contraindications-OB emergencies Dose-0.5-1 milliunits/min Route-IV Class-Endocrine-metabolic,pituitary hormone Effects-N/V, carfdiac dysrthymia Nursing implications-fetal status, pelvic exam,
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Reglan
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Generatic-Metoclopramide Hydrochloride Contraindications-sezuires, hypersen Dose-10mg Route-PO,IV,IM Class-Antiemetic Effects-fluid retention,nausea,fatigue Nursing implications-bp
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Stadol
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Generatic-Butorphanol Tartrate Contraindications-hypersen Dose-1-2mg Route-IV,IM Class-Analhesic,opioid Effects-N/V,dizzy,resp depression Nursing implications-bp,resp,loc
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Benadryl
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Generatic-Diphenhydramine Hydrochlride Contraindications-hypersen Dose-25-50mg Route-IV,IM,PO Class-analhesic,antihistamine Effects-sedation,somnolence Nursing implications-N/V,tremor
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Colace
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Generatic-Docusate Sodium Contraindications-abd pian,N/V Dose-50-200mg Route-PO,rectal Class-laxative Effects-cramping Nursing implications-decreased abd pain, rectal bleeding
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Iron
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Generatic-iron Contraindications-anemia,hemosiderosis Dose-2-3mg/kg Route-PO,IV Class-supplement Effects-consitpation,dark stools Nursing implications-anemia panel
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Motrin
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Generatic-ibuprofen Contraindications-asthma Dose-400-800mg Route-PO,IV Class-NSAID Effects-hypotension Nursing implications-fever,cbc,liver function
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Naproxen Sodium
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Generatic-naproxen Contraindications-CABG Dose-1000mg Route-PO Class-NSAID Effects-abd pain,ha, edema,fenal faliure Nursing implications-cbc,protein levels
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Percocet
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Generatic-actaminophen/oxycodone hydrochloride Contraindications-brobcial asthma,resp depression Dose-325-650mg Route-PO Class-Opioid/acetaminophen Effects-N/V,resp depression Nursing implications-LOC, resp,liver function
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Rhogam
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Generatic-RHo(D) immune Globulin Contraindications-autoimmune,iga deficiency Dose-125-300 international units/kg Route-IV,IM Class-Immune serum Effects-N/V,renal failure Nursing implications-renal function, signs of infection
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Rubella
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Generatic-Rubella vaccine Contraindications-active febril infection,preg Dose-0.5ml Route-IM Class-vaccine Effects-common cold, fever,steven johnsons,anaphylaxis Nursing implications-signs of infection
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Simethicone
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Generatic-Simethicone Contraindications-known intestional obstruction Dose-40-360mg Route-PO Class-Antiflatulent Effects-diarrhea,nausea,vomitng Nursing implications-decreased abd pain
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Surfaxin
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Generatic-Lucubactant Contraindications-hypersen Route-intratracheal Class-Lung Surfactant Effects-pale complexion,brady Nursing implications-resp distress
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Toradol
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Generatic-Ketorolac tromethamine Contraindications-trauma,bleeding Dose-20-40mg Route-IM,IV Class-NSAID,analgesic Effects-bleeding,bronchospasms Nursing implications-cbc,bp,renal function
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Tylenol
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Generatic-Acetaminophen Contraindications-hepatic disease Dose-650-1000mg Route-PO,IV Class-antipyretic,analgesic Effects-liver failure Nursing implications-cbc, renal functions
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Vicodin
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Generatic-Hydrocodone Contraindications-hypersen Dose-325-500mg Route-PO Class-Opioid Effects-N/V,dizzy,resp depression Nursing implications-liver function,renal functions
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EMLA Cream
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Generatic-Lidocaine/prilocaine Contraindications-Hypersen Dose-5-10g Route-topical Class-Anesthetic Effects-burning Nursing implications-numbness
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Hepatitis B
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Generic :Engerix-B, Recombivax HB Classification: vaccination Dosage, route, frequency depending on indication for population being served: Infants: IM 10 mcg at 0, 1, and 6 mo Adults 20 yr of age and older: IM 20 mcg at 0, 1, and 6 mo. Action: Induces specific antibodies against hepatitis B virus (HBV).redness, pain, swelling, or a lump where the shot was given; Side effect: Headache, dizziness;low fever;joint pain, body aches;tired feeling; or nausea, vomiting, stomach pain, constipation, diarrhea.Nursing Implications: Pregnancy:Category C . Lactation:Undetermined. Hypersensitivity:Patients who develop symptoms suggestive of hypersensitivity after an injection should not receive further injections.
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Lidocaine
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Generatic-lidocain Contraindications-hypersen Dose-5g Route-topical Class-anestheic Effects-hypotension Nursing implications-monitor bp
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Vitamin K
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Generic: phytonadione, Aquamephyton Classification: fat-soluble vitamin Administered IM. Dosage: 0.5mg to 1.0 mg IM in birthing area or 1 hr after birth Pain and edema may occur at injection site. Bleeding from umbilical cord, circumsicion site, nose, GI tract, or generalized ecchymosis, usually occurs on second or third day. IM injection used in prophylaxis and tx of hemorrhagic disease of the newborn by promoting liver formation of clotting factors II, VII, IX, X (2, 7, 9, 10). Nursing implications: observe for sign of inflammation, jaundice and bleeding
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Erythromycin Ointment
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Generic : Illotycin Opthalmic (0.5%) Observe for sensitivity reaction including edema and inflammation which usually disappears in 24-48 hrs. May wipe away excess after 1 min. Instill in lower lid inner to outer canthus. Antibiotic ointment for prophylactic treatment of opthalmia neonatorum caused by neisseria gonorrhoeae and Chlamydia.
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Calcium Gluconate
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Dosage: 1 gram IV over 3-5 mins Monitor IV site closely while administering. If extravasation occurs necrosis with result. May have pain/burning at IV site. Dysrhythmias/cardiac arrest are among the most severe side effects. Electrolyte used to treat hypermagnesemia.
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Fentanyl
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Generic: Duragesic Dosage: start at 25 mcg Route: iv Synthetic opioid analgesic used as an adjunct to regional anesthesia (epidural/spinal). Nursing: Monitor VS after IV administration. Observe for respiratory muscle rigidity (give slowly to prevent). Severe side effects include: laryngospasm, resp. depression or arrest. Must have resuscitative equipment available, post-op patients need turning, coughing and deep breathing.
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Cervidil
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Generic: Prostaglandid E2, Prepidil Belongs to a class of drugs called prostaglandins. A naturally occurring form of prostaglandin E2 used at term to ripen the cervix. Inserted intravaginally and remains in place for 12 hrs. Pitocin is started 30 min. after removal. Monitor maternal VS, cervical dilation, and effacement. Monitor fetal status for presence of reassuring FHR pattern. Terbutaline is administered if uterine hyperstimulation or non-reassuring fetal status occurs.
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Narcan
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Generic: Naloxone Dose 0.4mg given IV, subQ, IM. May repeat q2-3 min. Assess for symptoms of withdrawl: cramping, hypertension, anxiety, vomiting. VS q3-5 min. Monitor respiratory/cardiac status. Opioid antagonist administered IM/IV to treat respiratory depression induced by opioids by competing with opioids at opiate receptor sites.
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Penicillin G
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Generic:Benzathine Dosage:600,000 units IM Beware of pt allergies due to prolonged action/excretion. Allergic rxn may be prolonged and severe-watch for anaphylaxis. A broad spectrum antiinfective given to group B strep positive mothers in labor or as prophylaxis in some mothers who have not been screen. Side effectPain at the injection site, nausea, or vomiting
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Bacitra
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Generic:Oracit Classification: alkalinizing agent Medication given pre-op to neutralize stomach acid to prevent aspiration pneumonia. Side Effects: swelling, tingling, or numbness in your hands or feet; muscle twitching or pain, leg pain or cramps; unusual weakness, rapid and shallow breathing, fast or slow heart rate, dizziness, confusion, or mood changes; feeling restless, nervous, or irritable; black, bloody, or tarry stools; severe or ongoing diarrhea; or seizure. Common interactions: kidney failure; severe heart damage; Addison's disease; high levels of potassium in your blood; or if you are severely dehydrated or have heat cramps. Usual Dosage(s): 15ml po 10-30 mins. Prior to C/S. Nursing Implications: Monitor serum electrolytes, especially bicarbonate, in patients with renal disease. Monitor for SE's. Warn it has a sweet/sour taste.
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Vistaril
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Generic: Hydroxyzine Classification: Histamine H1 receptor antagonist Uses of Medication: as a sedative to treat anxiety and tension. Side Effects: drowsiness, dry mouth, dizziness, headache, nausea/vomiting, bitter taste in mouth Common interactions: CNS depressants, anticholinergics, epinephrine Usual Dosage(s): caps: 25, 50 mg. inj: 25 mg/mL, 50 mg/mL Nursing Implications: Assess for dehydration, monitor electrolytes, assist with ambulation, monitor lungs sounds for hypersensitivity reaction. Always use Z-track for IM.
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Ephedrine
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Generic: Pretz-D.IV- Reversal of spinal or epidural anesthesia-induced hypotension- As 3 mg/ml solution: 3-6 mg, up to 9 mg, may repeat every 3-4 minutes if needed. Side effect: Nervousness, sleeplessness, fainting, headache, fast heart rate, palpitations and sweating. Nausea, vomiting and loss of appetite. Muscle spasm, painful urination. Nursing implications: Can cause dizziness and drowsiness
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Methyldopa
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Generic name: Aldomet Antihypertensive Treat gestational hypertension or preeclampia Dosage:250 mg two or three times a day in the first 48 hours. Side effect: Headache, weakness Nursing implications: med crosses into placenta
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Dermoplast spray
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Generic name: Benzocaine local anesthetic Benzocaine is also used to numb the skin or surfaces inside the mouth, nose, throat, vagina, or rectum. Side effect:headache, tired feeling, confusion;fast heart rate;feeling light-headed or short of breath; and pale, blue, or gray appearance of your skin, lips, or fingernails. Nursing implications:Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
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Witch hazel
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Generic: glycerin and witch hazel topical Witch hazel is an astringent. It shrinks swollen tissue and provide relief from itching and irritation. Nursing implication:Avoid using laxatives in combination with glycerin and witch hazel topical unless your doctor has told you to.
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Methotexate
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Generic: Rheumatrex, Trexall Methotrexate is classified as an antimetabolite drug which means it is capable of blocking the metabolism of cells. Used to induce miscarriage and ectopic preg. PREPARATIONS: Injectable: 25 mg/ml. Powder for injection: 1 g. Tablet: 2.5, 5, 7.5, 10 and 15 mg Side effect:The most frequent reactions include mouth sores, stomach upset, and low white blood counts. Nursing: excreted in breast milk no to use while brestfeeding
