OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
***Previously Recorded*** Pharm is hard as hell! Especially when you’re considering your OB patients. We are back to help you understand the pharm behind OB and what you should know about those meds!!
Medication Errors
Overview Medication errors in nursing Most common nursing mistake Reduction is goal Follow facility policy and procedure Implications to patient Increased mortality Increased length of stay Increased costs Implications to nurse Counseling Possible Suspension Loss of pay Loss of license Legal suit Nursing Points General Prevention of medication errors Follow 5 patient rights Right patient […]
Mood Stabilizers
Overview Enhances serotonin and/or GABA function. Nursing Points General Most commonly used = Lithium Increases serotonin and decreases norepinephrine Used for Bipolar Disorder Nursing Considerations Lithium Monitor therapeutic level 0.6-1.2 mEq/L Frequency per protocol More often after initiation Then monthly Best drawn in morning, approximately 12 hours since last dose Caution in Pregnancy Things […]
Meds for Postpartum Hemorrhage (PPH)
Overview Stimulate uterine contraction to cause vasoconstriction within the uterine muscle and stop bleeding They can also cause arterial and coronary artery vasoconstriction Nursing Points General Given immediately after delivery of placenta Medications cause vasoconstriction and should be used with caution for patients with hypertension Assessment Bleeding Is the medication working to decrease the bleeding? […]
Rh Immune Globulin in Pregnancy
Overview Indication Given during pregnancy to prevent the Rh negative mother from developing antibodies against the fetus Given after delivery to prevent the Rh negative mother from developing antibodies that could attack a future pregnancy Nursing Points General Given to moms at 28 weeks and with in 72 hours of delivery Given to moms anytime […]
Eye Prophylaxis for Newborn
Overview Given to protect from neonatal conjunctivitis or ophthalmia neonatorum caused by chlamydia or gonorrhea Nursing Points General Required by law in US Parents have the right to refuse These conditions are transmitted to newborn in birth canal by mother infected with gonorrhea or chlamydia If not treated, can ultimately cause blindness Assessment Assess eyes […]
Phytonadione (Vitamin K) for Newborn
Overview IM injection given shortly after birth Also known as Vitamin K Nursing Points General Why it’s routinely given: Newborns are born without coagulation factors This is given to prevent any hemorrhagic disorders that may result, as newborns are deficient in vitamin K at birth. Assessment Monitor for bleeding Therapeutic Management Given IM Administer […]
Opioid Analgesics in Pregnancy
Overview Opioids are given for moderate to severe pain They will not provide the same relief as an epidural They are typically given IV in labor and fast-acting Given PO in the postpartum period to treat pain Nursing Points General Ideal to be given when needed for breakthrough/acute pain during labor, not chronically throughout pregnancy […]
Neostigmine (Prostigmin) Nursing Considerations
Generic Name Neostigmine Trade/Brand Name Prostigmin Indication Myasthenia gravis Muscle relaxant reversal Action Blocks action of acetylcholinesterase Increases level of acetylcholine Therapeutic Class Muscle stimulant Pharmacologic Class Cholinesterase inhibitor Nursing Considerations May cause Weakness Hypotension Allergic reactions Muscle twitching Symptoms of overdose Constipation Difficult urination Decreased sexual ability Contraindications Hypersensitivity Peritonitis Mechanical obstruction of intestinal […]
Phenobarbital (Luminal) Nursing Considerations
Generic Name Phenobarbital Trade/Brand Name Luminal Indication Seizures Sedation Action Depresses sensory cortex Decrease motor activity Alters cerebellar function Produces drowsiness, sedation, hypnosis Therapeutic Class Sedative Hypnotic Anticonvulsant Pharmacologic Class Long-acting barbiturate Nursing Considerations Contraindicated Airway obstruction Severe renal disorders Monitor Phenobarbital concentrations CNS status CBC with differential Assess seizures Use caution Anemia Depression Cardiac […]