Repro Drugs/ Tests

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Created by:

katyemma10  on April 19, 2012

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Repro Drugs/ Tests

Oxytocin (Pitocin)
Action: Uterine active agent
Nursing Uses: to treat and prevent postpartal bleeding and to induce labor.
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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.

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