Repro Drugs/ Tests
|Oxytocin (Pitocin)|| Action: Uterine active agent|
Nursing Uses: to treat and prevent postpartal bleeding and to induce labor.
|Tocolytic drugs (slow labor).3 of them.||Ritodrine (Yutopar), Terbutaline (Brethine), and magsulfate (slow mag)|
|Ritodrine (Yutopar)|| Action: Beta 2 adrenergic (tocolytic)|
Nursing Care: relax uterine muscles
Side Effects: vasodilation, tachycardia, elevated BG, prolonged bleeding times.
|Terbutaline (Brethine)|| Action: Beta 2 adrenergic (tocolytic)|
RN Care: Relax uterine muscles
SE: vasodilation, tachycardia, elevated BG, prolonged bleeding times.
Dose: can be give PO or SQ (advantage)
|Mag Sulfate|| Action: CNS depressant|
RN use: Decrease uterine contractions.
Dose: 4g o 20min loading then 2g/hr
Toxicity may develop in mom and fetus
|Signs of Mag toxicity||absent knee jerk reflex, oliguria, decreased respirations|
|Normal Mag range||1.4-2.5meq/dL.|
|betamethasone (Decadron)|| Class: Steroid|
Action: speed lung maturity
Dose: give to mother 24-48hrs pre delivery
|Oxytocin overdose & SEs||hypertonic contractions and uterine rupture. Labor pain is usually increased with oxy use.|
|Mag Sulfate SEs||hot flashes, drowsiness, nausea, vomiting, and diarrhea.|
|Oxytocin Dose||Dose: should be given IV 3ml in 1000 start at 3 mil/min increase every 15 min until 3 contractions every 10 min.|
|Therapudic range for mag. Antidote.|| Theraputic range is 4-9.6meq/dL while rec. Mag therapy. |
Ca gluconate is the antidote for Mag.