Betamethasone and Dexamethasone
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Outline
Overview
- Purpose: to accelerate fetal lung maturity and decrease severity of respiratory distress
- Given IM, 2-4 doses in divided doses over 48 hours
Nursing Points
General
- Given to moms that are in preterm labor
- Medications to accelerate the fetal lung development
- Delaying preterm labor for even 48 hours is helpful and allows time to give corticosteroids
- Note: benefits no longer justifiable at 35 weeks
Assessment
- Contractions
- Assess mother’s blood sugar
- Steroids = hyperglycemia
- Monitor for infection
Therapeutic Management
- Monitoring mother for infection signs
- Treat hyperglycemia
- Monitor labor and fetal heart rate
Nursing Concepts
- Fetal development
- Oxygenation
- Gas exchange
Patient Education
- Medication education
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Transcript
In this lesson I will explain the use of betamethasone and dexamethasone and using them in practice.
Our biggest concern in preterm labor is the fetal lung maturity. So if a patient is at risk for preterm labor we can try to help this. We give corticosteroids such as betamethasone and dexamethasone to the mother and these will help accelerate the fetal lung maturity prior to delivery. These are given in several doses over the course of 48 hours. If a mom is in preterm labor or and we can prolong it with tocolytics for even 48 hours it is really helpful and allows time to give corticosteroids. Once a fetus is 35 weeks the lungs are thought of as “mature” so it is not necessary after this point if preterm labor starts or is a risk.
Assessment will involve assessing contractions. Is the mother in preterm labor or at risk to be? If so we can give a corticosteroid to accelerate fetal lung development. We now would assess the mother’s blood sugar. Remember we are giving her corticosteroids so this can increase her blood sugar and cause hyperglycemia.Steroids can increase infection risk to mother so we will be assessing for this.
Our management will be to monitor for any infection since steroids can suppress the immune system. We will also monitor and might even treat hyperglycemia caused by the corticosteroids. Education for this patient will just be what we are giving and the process of it being given over a few doses.
Human development, gas exchange, and oxygenation are the concepts because we are giving these medications to accelerate fetal lung development so when born the baby will be able to better oxygenate and perform gas exchange.
Betamethasone and dexamethasone are given when preterm labor is occurring or a preterm delivery is needed. It will accelerate fetal lung maturity. It is given over a few days in split doses and we must watch the client for hyperglycemia and infection.
Make sure you check out the resources attached to this lesson and review uses and side effects of the medications. Now, go out and be your best selves today. And, as always, happy nursing.
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Communicating with Other Nurses
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
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Day in the Life of a Labor Nurse
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Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
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Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Case Study for Pediatric Asthma
Obstructive Heart (Cardiac) Defects
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Omphalocele
Opioid Analgesics
Pancrelipase (Pancreaze) Nursing Considerations
Pediatric Bronchiolitis Labs
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pediatric Oncology Basics
Pediatrics Course Introduction
Pediculosis Capitis
Pertussis – Whooping Cough
Phenylketonuria
Phenytoin (Dilantin) Nursing Considerations
Platelets (PLT) Lab Values
Pneumonia
Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)
Pulmonary Function Test
Red Blood Cell (RBC) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Reye’s Syndrome
Reyes Syndrome Case Study (Peds) (45 min)
Rheumatic Fever
ROME – ABG (Arterial Blood Gas) Interpretation
Rubeola – Measles
Salmeterol (Serevent) Nursing Considerations
Scoliosis
Selegiline (Eldepyrl) Nursing Considerations
Sickle Cell Anemia
Spina Bifida – Neural Tube Defect (NTD)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Stoma Care (Colostomy bag)
Strabismus
Sudden Infant Death Syndrome (SIDS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Thorax and Lungs Assessment
Tonsillitis
Topical Medications
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Umbilical Hernia
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Varicella – Chickenpox
Varicella Case Study (Peds) (30 min)
Vitals (VS) and Assessment
Vomiting
White Blood Cell (WBC) Lab Values
X-Ray (Xray)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Emotions and Motivation
Growth & Development Theories
Maslow’s Hierarchy of Needs in Nursing
Psychological Disorders
State of Consciousness
Stress and Crisis