Opioid Analgesics in Pregnancy
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Study Tools For Opioid Analgesics in Pregnancy
OB Medications (Cheatsheet)
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Outline
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
- Newborn can be born addicted→ refer to addicted newborn lesson
- History taking is essential before administration to make sure they haven’t been taking them during pregnancy
- Some meds are contraindicated if someone is already dependent on specific meds, as they may elicit withdrawal symptoms for both baby and mom
Assessment
- Patient history
- Pain level
- How close is the patient to delivery
Therapeutic Management
- Medicate properly
- Hydromorphone (Dilaudid)
- Morphine
- Butorphanol tartrate (Stadol)
- Nalbuphine (Nubain)
- Oxycodone
- Hydrocodone
- Naloxone available
- Anti nausea medications
- Nausea is a side effect of Opioids
- Monitor for overdose
- Respirations less than 12/min is a concern
- Hypotension
Nursing Concepts
- Pharmacology
- Comfort
- Safety
Patient Education
- Fast acting
- Treatment options
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Sep 8 to Oct 31 Pharmacology
Concepts Covered:
- Test Taking Strategies
- Prefixes
- Suffixes
- Cardiac Disorders
- Adult
- Medication Administration
- Hematologic Disorders
- Intraoperative Nursing
- Pregnancy Risks
- Microbiology
- Respiratory Disorders
- Disorders of Pancreas
- Oncology Disorders
- Personality Disorders
- Nervous System
- Emergency Care of the Cardiac Patient
- Substance Abuse Disorders
- Cardiovascular Disorders
- Basics of Chemistry
- Newborn Care
- Liver & Gallbladder Disorders
- Upper GI Disorders
- Vascular Disorders
- Lower GI Disorders
- Labor Complications
- Depressive Disorders
- Postpartum Complications
- Central Nervous System Disorders – Brain
- Learning Pharmacology
- Disorders of the Thyroid & Parathyroid Glands
- Integumentary Disorders
- Prenatal Concepts
- Urinary Disorders
- Concepts of Pharmacology
- Terminology
- Labor and Delivery
- Emergency Care of the Respiratory Patient
- Anxiety Disorders
- Studying
- Multisystem
- Disorders of the Posterior Pituitary Gland
Study Plan Lessons
12 Points to Answering Pharmacology Questions
54 Common Medication Prefixes and Suffixes
ACE (angiotensin-converting enzyme) Inhibitors
ACLS (Advanced cardiac life support) Drugs
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Anemia for Progressive Care Certified Nurse (PCCN)
Anesthetic Agents
Anesthetic Agents
Angiotensin Receptor Blockers
Anti-Infective – Aminoglycosides
Anti-Infective – Antifungals
Anti-Infective – Penicillins and Cephalosporins
Antidiabetic Agents
Antineoplastics
Atypical Antipsychotics
Autonomic Nervous System (ANS)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Benzodiazepines
Calcium Channel Blockers
Cardiac Glycosides
Cardiopulmonary Arrest
Chemistry Course Introduction
Coronary Artery Disease Concept Map
Corticosteroids
CRNA
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Epoetin Alfa
Eye Prophylaxis for Newborn
Eye Prophylaxis for Newborn (Erythromycin)
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Insulin
Interactive Pharmacology Practice
Ischemic Bowel for Progressive Care Certified Nurse (PCCN)
Lung Surfactant
Lung Surfactant for Newborns
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
MAOIs
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Migraines
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
NSAIDs
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Opioid Analgesics
Opioid Analgesics in Pregnancy
Parasympatholytics (Anticholinergics) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Pharmacology Course Introduction
Pharmacology Terminology
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Prostaglandins
Prostaglandins in Pregnancy
Proton Pump Inhibitors
Psychiatry Terminology
Rapid Sequence Intubation
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
SSRIs
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
TCAs
Tenet 3 Why Behind the What
Tension and Cluster Headaches
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Tocolytics
Tocolytics
Toxic Ingestion, Inhalation, Overdose for Progressive Care Certified Nurse (PCCN)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
Vascular Disease for Progressive Care Certified Nurse (PCCN)
Vasopressin
Why CEs (Continuing education) matter