Term
| Percocet (Oxycodone/Acetominophen) |
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Definition
| Pregnancy category "C" (for oxycodone)
Action: bind to opiate receptors in the CNS; alter the perception of and response to painful stimuli; CNS depression
Counterindicated: Chronic use in pregnancy or lactation; avoid alcohol
SE: confusion; sedation; respiratory depression; constipation
Nursing assesments: type; location and intensity of pain prior to and at 1h post administration (peak acting time); Assess RR. Do not give if <10/min; Assess bowel function |
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Term
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Definition
| Pegnancy Category "B" first trimester
Action: inhibits prostaglandin synthesis; used to decrease pain and inflammation
CI: hypersensitivity; active GI bleed or ulcer disease.
SE: headche; constipation; dyspepsia; N/V; *Gi Bleeds; *renal failure
Nusing assessments: Assess pain prior to and 1-2 hours after administration; Watch BUN, K, Creat, ALP; LDH; AST and ALT. |
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Term
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Definition
| Pregnancy Category "B"
Action: Inhibits the synthesis of prostiglandins that may serve as mediators of pain, esp in the CNS
CI: use carefully with renal/hepatic disease
SE:*hepatic failure; *hepatotoxicity; renal failure
Assess:overall status and ETOH use; pain prior to and 30-60 minutes after admin. |
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Term
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Definition
| Pregnancy Category "C"
Analgesia during labor
Action: binds to opiate receptors in CNS
CI: hypersensitivity
SE: dizziness, headache, sedation, dry mouth, N/V, sweating, clammy feeling
Asess: type location and intensity of pain before and 1 hour after IM or 30 minutes after IV administration; RR-hold if less than 10/min; BP/P; |
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Term
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Definition
| Pregnancy Category "C"
Action: binds opiate receptor in the CNS
CI: hypersensivity; ETOH use; pregnancy or lactiation--avoid chronic, but is used during labor but may cause respiratory depression in the newborn
SE: confusion, sedation, hypotension, constipation, *respiratory depression
Asess: RR-do not administer if less than 10/min; Type, location and intensity of pain prior to and 1 hour after PO, subc, IM or 20 minutes after IV administration; Assess bowels; BP/P; LOC; |
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Term
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Definition
| Pregnancy category X
Induction of labor at term; faciliaton of contractions at term; facilitaton of threatened aborition; postpartum control of bleeding after expulsion of the placenta; evaluation of fetal competence (fetal stress test)
Action: stimulates uterine smooth muscle producing uterine contraction similar to those in spontaneous labor;
CI: pregnancy
SE: maternal-*coma, seizures; increased uterine mobility; painful contractions; fetal-*intercranial hemorrhage, *asphyxia
Asess: fetal maturity, presentation and pelvic adequacy; character, frequency and duration of uterine contractions; fetal heart rate; resting uterine tone; maternal bp and pulse; watch for water intoxication (drowsiness, listlessness, confusion, headche, anuria) |
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Term
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Definition
| Pregnancy category C
Action: promotes incorporation of water into stool resulting in softer fecal mass
CI: hypersenitivty; abdominal pain, N/V;
SE; no common; throat irritation, mild cramps, rashes
Asess: abdominal distention, bowel sounds, pattern of bowel function; color, consistency and amount of stool produced |
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Term
| bicitra (sodium citrate and citric acid) |
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Definition
| Pregnancy category C
Action: Converted to bicarbonate in the body resulting in increased blood pH. (for managment of acidosis, prevention of aspiration pneumonitis during surgical procedures)
CI: use cautiously in pregnancy and lactation
SE: no common; diarrhea, fluid overload, hypernatrimia, hypocalcemia, metabolic alkalosis, tetany
Assess: signs of alkalosis (confusion, irritablity, paresthesia, tetany, altered breathing pattern) or hypernatremia (edema, weight gain, tachycardia, fever, flushed skin, mental irritablity); monitor for renal dysfunction. |
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Term
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Definition
| Pregnancy Category X
Prefention of mucosal injury from NSAIDS; with mifeprisotne for termination of pregnancy
Action: acts as a prostaglandin analogue, decreasing gastric acid secretion; causes uterine contractions;
CI: pregnancy or lactation (when used to preent NSAID-induced gastric injury)
SE: abdominal pain; diarrhea; miscarriage
Assess for epigastric or abdominal pain and for frank or occult blood in the stool, emesis, or gastric aspirate; Assess women of childbearing age for pregnancy.
When used for cervical ripening (unlabeled use) may cause uterine ruptures; risk factors ar late trimester, previous cesarian or uterine surgery or > or = 5 previous pregnancies. |
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Term
| methergine (methylergonovine) |
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Definition
| Pregnancy Category C
Prevention and treatment of postpartum or post abortion hemorhhage caused by uterine atony or subinvolution
Action: Directly stimulates uterine and vasular smooth muscle; uterine contraction
CI: should not be used to induce labor
SE: *hypotension, N/V, cramps
Assess: monitor BP/HR/ and uterine response; asses for signs of ergotism (cold numb fingers and toes, chest pain, N/V, headche, muscle pain, weakness) |
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Term
| Terbutaline (brethaire, bricanyl) |
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Definition
| Pregnancy Category B
Used for management of airway disease or COPD. Unlabeled use: management of preterm labor
Action: Bronchodilation by inhibiting the release of mediators from mast cells, increases cAMP at beta-adenergic receptors.
CI: hypersensitivity to adenergic amines or flurocarbons (inhalation)
SE:nervousness, restlessness, tremor
Assess: Bronchodilator--lung sounds, RR, P, BP, PFTs; Preterm labor--monitor maternal pulse and bp, frequency and duration of contractions and fetal bp. Assess for pulmonary edema; monitor mother and neonate for signs of hypoglycemia and mother for hypokalemia |
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