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Posted: January 20th, 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?
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?
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?
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?
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?
—>
MEDICATIONS ARE
1.Oxytocin
2.Magnesium sulfate
3.Labetalol
4.Apresoline
5.Betamethasone (Celestone)
—>
Oxytocin:
Trade name: Pitocin
Pregnancy classification: FDA category C
Usual Dosage: Intravenous or intramuscular route, initial dose of 0.5-1 milliunits/min, titrated to the desired effect, usually no more than 20 milliunits/min; frequency is usually every 15-30 minutes.
Indications: Induction of labor, stimulation of labor, control of postpartum bleeding
Adverse Effects: Tachysystole, water intoxication, fetal distress
Precautions/Contraindications: hypertension, previous cesarean delivery, grand multiparity, fetal distress, placenta previa
Interactions: None known
Nursing considerations: Assess FHT, contraction pattern, monitor fluid and electrolyte balance, monitor maternal and fetal response, educate patient on potential adverse effects, reassess need for ongoing use
Magnesium sulfate:
Trade name: Magnesium sulfate
Pregnancy classification: FDA category D
Usual Dosage: Intravenous route, 4-6 g in 4-6 hours for tocolysis, 2-4 g/hour for seizures; frequency is usually every 4-6 hours.
Indications: Tocolysis in preterm labor, seizure prophylaxis in eclampsia
Adverse Effects: Flushing, hypotension, respiratory depression, decreased reflexes, kidney dysfunction
Precautions/Contraindications: Renal impairment, AV block, hypotension
Interactions: None known
Nursing considerations: Assess FHT, contraction pattern, monitor maternal and fetal response, educate patient on potential adverse effects, reassess need for ongoing use, monitor kidney function
Labetalol:
Trade name: Trandate
Pregnancy classification: FDA category C
Usual Dosage: Intravenous or oral route, initial dose of 20-40 mg every 10 minutes, titrated to the desired effect, usual total dose is 200-300 mg; frequency is usually every 4-6 hours.
Indications: Hypertensive crisis in pregnancy
Adverse Effects: Hypotension, bradycardia, bronchospasm
Precautions/Contraindications: Asthma, heart block, hypotension
Interactions: None known
Nursing considerations: Assess blood pressure, pulse, educate patient on potential adverse effects, reassess need for ongoing use, monitor maternal and fetal response
Apresoline:
Trade name: Apresoline
Pregnancy classification: FDA category C
Usual Dosage: Oral route, initial dose of 100 mg every 6 hours, titrated to the desired effect; frequency is usually every 6 hours.
Indications: Hypertensive crisis in pregnancy
Adverse Effects: Headache, nausea, tachycardia, drowsiness
Precautions/Contraindications: Cardiac arrhythmias, heart block, liver disease
Interactions: None known
Nursing considerations: Assess blood pressure, pulse, educate patient on potential adverse effects, reassess need for ongoing use, monitor maternal and fetal response
Betamethasone (Celestone):
Trade name: Celestone
Pregnancy classification: FDA category C
Usual Dosage: Intramuscular route, two doses of 12 mg given 24 hours apart; frequency is usually once.
Indications: Preterm labor, to accelerate fetal lung maturity
Adverse Effects: Hyper
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