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Oxytocin (Pictopin, Syntocinon) causes potent and selective stimulation of uterine and mammary gland smooth muscles producing sustained contractions. Contraindicated in patients hypersensitive to methylergonovine or any component of the CNS:Hallucinations, formulation. Dizziness, seizure, >ergot alkaloids are headache.
Oxytocin (Pictopin, Syntocinon) causes potent and selective stimulation of uterine and mammary gland smooth muscles producing sustained contractions. Contraindicated in patients hypersensitive to methylergonovine or any component of the CNS:Hallucinations, formulation. Dizziness, seizure, >ergot alkaloids are headache.
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Oxytocin (Pictopin, Syntocinon) causes potent and selective stimulation of uterine and mammary gland smooth muscles producing sustained contractions. Contraindicated in patients hypersensitive to methylergonovine or any component of the CNS:Hallucinations, formulation. Dizziness, seizure, >ergot alkaloids are headache.
Hak Cipta:
Attribution Non-Commercial (BY-NC)
Format Tersedia
Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility
(Brand Name) Route, Action
Frequency Methylergonovine Indication: 2 Ampules Methergine Cardiovascular: > contraindicated in >Be alert for adverse maleate Prevention and immediately ↓ hypertension, patients reactions and drug (Methergine, treatment of after the Stimulates uterine temporary chest hypersensitive to interactions. Methylergobasine postpartum and delivery of smooth muscles pain, palpitation methylergonovine or Methylergobrevin postabortion the Placenta ↓ any component of the >This drug should be Methylergonovine) hemorrhage producing CNS:Hallucinations, formulation. used extremely caused by uterine sustained dizziness, seizure, carefully because of it's atony or contractions headache >ergot alkaloids are potent vasoconstrictor subinvolution ↓ contraindicated with action. I.V. use may thereby shortens Gastrointestinal: potent inhibitors of induce sudden the third stage of Nausea, vomiting, CYP3A4 (includes hypertension and labor diarrhea, foul taste protease inhibitors, cerebrovascular azole antifungals, and accidents. As a last Local: some macrolide resort, give I.V. slowly Thrombophlebitis antibiotics); over several minutes and monitor blood Otic: Tinnitus >hypertension; pressure closely. toxemia of pregnancy Renal: Hematuria (PIH) >Monitor Uterine Contractions Respiratory: Dyspnea, nasal congestion
Miscellaneous: Diaphoresis
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Oxytocin Indication: For Oxytocin Cardiovascular: > Contraindicated in > Monitor and record (Pictopin, Induction of labor stimulation of ↓ hypertension; patients hypersensitive uterine contractions, heart labor: 10 units rate, BP, intrauterine Syntocinon) at term; control of (1ml) of drug Causes potent and increased heart rate, to the drug or any of postpartum selective systemic venous its component. pressure, fetal heart rate, infused in 1L and blood loss q15. bleeding; D5LRS before stimulation of return, and cardiac adjunctive deliver uterine and output, and > Also contraindicated >Be alert for adverse therapy in mammary gland arrhytmias in cephalopelvic For reaction management of smooth muscles disproportion or Reduction of abortion Postpartum ↓ CNS: seizures, delivery that requires >Monitor I/O. Antidiuretic bleeding: 1 producing sustained coma from water conversion, as in effect may lead to fluid amp after contractions intoxication tranverse lie; in fetal overload, seizures, and delivery of ↓ distress when delivery coma placenta isn’t imminent; in Induces labor and Gastrointestinal: milk ejection and prematurity and in >never give oxytocin Nausea, vomiting, severe toxemia, simultaneously by more reduces post partum than one route. bleeding GU: titanic uterine hypertonic uterine contractions, patterns, total placenta >have 20% solution abruption previa or vasa previa. magnesium sulfate placentae, impaired available for relaxation of uterine blood flow, the myometrium. pelvic hematoma > Also contraindicated >If contractions are less in fetal distress. than 2 minutes apart, if Hematologic: they’re above 50mm Hg afibrinogenemia ,or if they last 90seconds or longer, stop infusion, Respiratory: and turn patient on her anoxia, asphyxia side, and notify physician or midwife.
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Hyoscine Indication: Given via Hyoscine CNS: dizziness, Contraindicated in >Be alert for adverse Butylbromide To reduce IV, 1mg/ml Butylbromide headache, patients with angle- reactions and drug (Buscopan) secretions to promote ↓ restlessness, closure glaucoma, interactions. perioperatively. cervical Inhibits muscarinic disorientation, obstructive uropathy, effacement. actions of irritability, fever asthma, COPD, >Encourage pt. to void acetylcholine in the myasthenia gravis, ANS GI: constipation, paralytic ileus, >Monitor BP for ↓ dry mouth, nausea, intestinal atony, & possible hypotension. Affecting neural vomiting unstable CV. pathway >Monitor cervical ↓ CV: palpitations, effacement and Relieves spasticity, tachycardia, dilatation. nausea and flushing vomitting; reduces secretions; and EENT: dilated blocks cardiac pupils, blurred vagal reflexes. vision, photophobia, ↓ dysphagia Promotes cervical GU: urinary effacement hesitancy, urinary retention
Skin: rash, dryness
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Hydralazine Indication: 5 mg/dose Hydralazine CNS: peripheral Contraindicated to pt.s >Assess blood pressure (Apresoline) Pre-eclampsia / then 5-10 ↓ neuritis, headache, hypersensitive to the before starting therapy eclampsia mg every Directly relaxes dizziness drug and any of its and regularly thereafter. 20-30 arteriolar smooth component and in minutes as muscle CV: orthostatic those with coronary >Instruct client to take needed. ↓ hypotension, artery disease or mitral oral form with meals. Vasodilaion tachycardia, valvular rheumatic ↓ arrythmias, angina, heart disease. >Inform client that Lowers Blood palpitations. orthostatic hypotension Pressure Use cautiously in can be minimized by GI: n/v, diarrhea, patients with rising slowly and not anorexia suspected cardiac changing position disease, CVA, or suddenly. Hematologic: severe renal neutropenia, impairment, and in >Tell pt. not to abruptly leukopenia, those taking other stop taking drug, but to agranulocytopenia antihytensives. call prescriber if adverse reaction occurs. Metabolic: weight gain, sodium >Tell client to limit retention sodium intake.
Skin: rash
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Hydralazine Indication: 5 mg/dose Hydralazine CNS: peripheral Contraindicated to >Assess blood pressure (Apresoline) Pre-eclampsia / then 5-10 ↓ neuritis, headache, patients who are before starting therapy eclampsia mg every Directly relaxes dizziness hypersensitive to the and regularly thereafter. 20-30 arteriolar smooth drug and any of its minutes as muscle CV: orthostatic component and in >Instruct client to take needed. ↓ hypotension, those with coronary oral form with meals. Vasodilaion tachycardia, artery disease or mitral ↓ arrythmias, angina, valvular rheumatic >Inform client that Lowers Blood palpitations. heart disease. orthostatic hypotension Pressure can be minimized by GI: n/v, diarrhea, Use cautiously in rising slowly and not anorexia patients with changing position suspected cardiac suddenly. Hematologic: disease, CVA, or neutropenia, severe renal leukopenia, impairment, and in agranulocytopenia those taking other antihytensives. Metabolic: weight gain, sodium retention
Skin: rash
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Phytomenadione >To stimulate the 0.1 cc via Sterility of GI tract >The synthetic >Contraindicated to >Ensure that the (Vitamin K, clotting factors of IM to the ↓ form of Vitamin K those who are adequate dose is given Phylloquinone, the newborn Vastus Administration of and Vitamin K3 hypersensitive to any while following the menaquinone) >To prevent Lateralis of Vitamin K (Menadione) can component of Vitamin proper IM Drug hemorrhagic the newborn ↓ cause allergic K containing products. Administration. disease of the Increased Synthesis reaction, Hemolytic Newborn. of precursor Anemia, and >Apply pressure to the proteins in the GIT Cytotoxicity in injection site to prevent mainly factors II, liver cells. further bleeding. VII, IX, and X are produced and >Document the giving increased. of the medication to ↓ newborn to prevent an From 30-60% accidental doubling of compared to adult the dose. clotting factor values, blood clotting factors increase.
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Oxytetracycline To prevent 1 cm strip >Irritation (Terramycin infection of the applied >Redness Opthalmic eye which may from the >Tearing Ointment, derive from flora inner >Iching sensation Terak, or present canthus of Terramycin infections of the the eye to with vagina during the outer Polymyxin B) normal canthus spontaneous delivery
To prevent Opthalmia neonatorum in infants.
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Nubaine
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Lidocaine >Injected prior to For normal Lidocaine > Dizziness >Hypovolemia > Observe for untoward (Xylocaine) normal vaginal ↓ >Paresthesia >Heartblock reactions such as spontaneous delivery: Stabilizes the >Drowsiness >Other Conduction drowsiness, depressed delivery to 50mg/ml of neuronal membrane >Confusion Disturbances respiration, or seizures. anesthetize the a 5% ↓ >Respiratory area of the hyperbaric Inhibits sodium ion Depression perineum to be solution or movemnts >Convulsions used for 9mg-15mg ↓ episiotomy. (0.6ml-1ml) Conduction of of a 1.5% impulses are >Used as a local solution. inhibited anesthesia for ↓ Cesarean section. Local loss of pain For sensation Cesarean Section: Up to 75 mg (1.5ml) of a 5% hyperbaric solution.
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Duvadilan
Maniulit, Joeanne Mae A.
N-304 Group 3 Generic Name Indication Dosage, Mechanism of Adverse Reaction Contraindication Nursing Responsibility (Brand Name) Route, Action Frequency Epinephrine
Maniulit, Joeanne Mae A.
N-304 Group 3 Maniulit, Joeanne Mae A. N-304 Group 3