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Posted: January 15th, 2023
Maternity Clinical Medication Cards
Name of Drug: Trade and generic name MUST include pregnancy classification
Usual Dosage: Route, dosage, usual frequency
Indications: Specific to maternity or newborn
Adverse Effects
Precautions/Contraindications
Interactions:
Include concerns with breastfeeding
Nursing considerations:
Make this specific to why you are giving the medication. Think about your indications. What are you going to assess, monitor, reassess, educate on, etc. (May need to use critical thinking NOT just the book)
EX: If given for Preterm Labor, then you want to assess FHT, SVE, Contraction pattern, etc
Is there a time limit on the medication?
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Drug: Oxytocin (Pregnancy category: C)
Usual Dosage: Intravenous, 10 units in 1000 mL of normal saline, administered at a rate of 1-2 mU/min; usual frequency is as needed for induction or augmentation of labor.
Indications: Oxytocin is used to induce or augment labor in pregnant women, and to control bleeding after delivery.
Adverse Effects: Some possible adverse effects of oxytocin include water intoxication, fetal distress, and uterine hyperstimulation.
Precautions/Contraindications: Oxytocin should be used with caution in patients with hypertension, heart disease, or a history of previous uterine surgery. It should not be used in patients with a known hypersensitivity to the drug.
Interactions: Oxytocin may interact with other medications used during labor and delivery, such as magnesium sulfate or tocolytics. It is also important to note that oxytocin may decrease the milk supply for breastfeeding mothers.
Nursing considerations: The nurse should closely monitor the patient’s vital signs and uterine contractions, as well as the fetal heart rate, during administration of oxytocin. It is also important to educate the patient on the potential adverse effects of the medication and to closely monitor for signs of water intoxication or fetal distress. If the patient is breastfeeding, the nurse should also closely monitor the milk supply and educate the patient on the potential effects of oxytocin on lactation. The medication should be discontinued after delivery and the nurse should reassess the patient regularly for any adverse effects. The time limit for the medication is only for the duration of the induction or augmentation of labor.
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