Ob Nursing Drug Cards

Topics: Pregnancy category, Pregnancy, Opioid Pages: 35 (10356 words) Published: September 17, 2013
Generic Name: meperidineBrand Name(s): Demerol| Pregnancy Category: C| Route of Administration: IM, SUBCUT| Drug Category: opioids analgesic| Indication: labor analgesia| Normal Dosage:Labor analgesia Adult: 50-100 mg given when contractions regularly spaced repeat q1-3h prn| Side Effects:CNS: drowsiness, dizziness, confusion, HA, sedation, euphoria, increased intracranial pressure, seizures, respiratory depression, anaphylaxis|

Nursing Considerations/Teachings/Interventions:
Nursing Consideration: pt should remain recumbent for 1hr after IM/SUBCUT route, inject into large muscle mass May cause fatal reaction: MAOI’s, carbazine
Tx for Overdose: Naloxone (Narcan) 0.2-0.8 mg IV, O2, IV fluids vasopressors Assess-
•Pain: location, type, character. Give before pain is extreme and reassess 60 mins after dose.•I & O •CNS Cx: dizziness, drowsiness, decreased LOC, euphoria, pupil reaction Respiratory dysfunction

Safety measures: •night-light; •call bell within reach
Teach: •Report any CNS Cx or allergic reactions. •If drowsiness occurs call for assistance; •Make position Cx slowly d/t orthostatic hypotension

Nursing Considerations/Teachings/Interventions:
Nursing Consideration: pt should remain recumbent for 1hr after IM/SUBCUT route, inject into large muscle mass May cause fatal reaction: MAOI’s, carbazine
Tx for Overdose: Naloxone (Narcan) 0.2-0.8 mg IV, O2, IV fluids vasopressors Assess-
•Pain: location, type, character. Give before pain is extreme and reassess 60 mins after dose.•I & O •CNS Cx: dizziness, drowsiness, decreased LOC, euphoria, pupil reaction Respiratory dysfunction

Safety measures: •night-light; •call bell within reach
Teach: •Report any CNS Cx or allergic reactions. •If drowsiness occurs call for assistance; •Make position Cx slowly d/t orthostatic hypotension

Generic Name: fentaNYLBrand Name(s): ABSTRAL, Actiq, Fentora, Onsolis, RAN-Fentanyl| Pregnancy Category: C| Drug Category:Opioid analgesic| Indication: •Control moderate to severe pain •Premedication or adjunct to anesthesia (conscious sedation or regional)| Route of Administration:IV, Transmucosal, Buccal, nasal spray, SL spray| Nursing Considerations/Teachings/Interventions:Nursing Considerations: •Notify prescriber if Resp rate <10 bpm •Assess for CNS Cx •Allergic reactions: rash, urticarialEvaluate: •Therapuetic responseTeach: •TCDB, post-op •Safety measures - siderails, night-light, call bell within reach •Possible CNS Cx|

Common Side Effects: •CNS: dizziness, delirium •CV: blurred vision •GI: N & V, constipation, urinary retention •INTEG: rash, diaphoresis •MS: muscle rigidity| Life Threatening Side Effects: •CV: Bradycardia, CVA •RESP: respiratory depression, MI, larngospasm| Normal Dosage: (Adult)Anesthetic • IV 25-100 mcg q 2-3 min prnAnesthesia supplement •IM/IV 2-20- mcg/kg •IV Infusion 0.025-0.25 mcg/kg/min Induction and maintenance •IV bolus 5-40 mcg/kgPreoperatively • IM/IV 0.05 – 0.1 mg q30-60 min before surgeryPostoperatively • IM/IV 0.05-0.1 mg q1-2h prnSedation/analgesia • IV 0.5-1 mcg/kg/dose, may repeat after 30-60min | Ped’s Dosage:Anesthetic Induction and maintenance: 2-12 yrs IV 2-3 mcg/kg Sedation/analgesia:1-12 yrsIV Bolus 1-2 mcg/kg/dose, may repeat q30-60mins; continue IV 1-5 mcg/kg/hr after IV bolus doseSedation (neonate)IV bolus 0.5mg-3 mcg/kg/dose with continuous IV 0.5mg-2 mcg/kg/hr after IV bolus.|

Generic Name: ibuprofenBrand Name(s): Advil, Midol, Motrin| Pregnancy Category: B 3rd trimester- Cat D| Route:PO, IV| Drug Category: NSAID, non-opioid analgesic| Indication: inflammation, analgesia, antipyretic| Nursing Considerations: Adm with food, milk or antiacid to decrease GI symptoms; if N&V occur or persis, notify perscriber Assess- •Pain: note type, duration, lacoation, intensity with ROM 1 hr after adm•Infection: may mask symptoms; fever: temp before and 1 hr after admEvaluate- Therapeutic response: decreased pain, stiffness in joints;...
Continue Reading

Please join StudyMode to read the full document

You May Also Find These Documents Helpful

  • nursing Essay
  • Essay on Nursing
  • Drugs Essay
  • Essay about Leadership in Nursing
  • Nursing Reflection Essay
  • Essay on drug cards
  • Essay on Nursing Drug List
  • Nursing Essay

Become a StudyMode Member

Sign Up - It's Free