Repro Drugs/ Tests
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Created by:
katyemma10 on April 19, 2012
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12 terms
Terms | Definitions |
|---|---|
Oxytocin (Pitocin) | Action: Uterine active agentNursing 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 depressantRN 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: SteroidAction: 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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