All Ob Drugs Essay

Submitted By fjfarmer
Words: 6336
Pages: 26

Name: _______________________________

Drug Name
Use
Action
Contraindications
Dose/Route
Lactation Concerns
Pregnancy Category
Generic/Trade:
acetaminophen/
Tylenol

Drug Class
Nonopiod analgesic, antipyretic
Mild to moderate pain or fever, arthalgia, dental pain, dysmenorrhea, headache, myalgia, osteoarthritis
May block pain impulses peripherally that occur in response to inhibition of prostaglandin synthesis
Hypersensitivity, intolerance to tartrazine, alcohol, table sugar, saccharin, depending on product.

Excreted in breastmilk, however breastfeeding is okay.
B
Adverse Effects for Mom:
Nausea, vomiting, abdominal pain, hepatotoxicity

Adverse Effects for Baby:
Crosses placenta in low concentrations, however no adverse side effects result.

Nursing Intervention:
Assess for signs of hepatotoxicity; Crushed or whole; Give with full glass of water; Evaluate for absence of pain using pain scoring or fever.

Drug Name
Use
Action
Contraindications
Dose/Route
Lactation Concerns
Pregnancy Category
Generic/Trade:
zolpidem/ Ambien

Drug Class
Sedative-hypnotic
Insomnia
Produces CNS depression at limbic, thalamic, hypothalamic levels of CNS
Hypersensitivity to benzodiazepines

Do not use when breastfeeding.
C
Adverse Effects for Mom: daytime drowsiness, dizziness, weakness, loss of coordination, dry mouth, constipation, nausea, upset stomach, headache, muscle pain, suicidal ideation, leukopenia
Adverse Effects for Baby: Severe neonatal respiratory depression have been reported when zolpidem was used at the end of pregnancy

Nursing Intervention:
Assess mental status; Do not break, crush, or chew ext rel; Take with full glass of water; Take ½ - 1 hr before bedtime (PO), or right before retiring (ext rel); Avoid use with CNS depressants; Evaluate ability to sleep at night, decreased amount of early morning awakening if taking the product for insomnia; Dependence can occur with long term use

Drug Name
Use
Action
Contraindications
Dose/Route
Lactation Concerns
Pregnancy Category
Generic/Trade:
cefazolin/ Ancef

Drug Class
Antiinfective
Gram-negative bacilli; Gram-positive organisms
Inhibits bacterial cell wall synthesis, rendering cell wall osmotically unstable, leading to cell death; lysis medicated by cell wall autolytic enzymes
Hypersensitivity to cephalosporin’s, infants < 1mo

Cefazolin is excreted into human milk in small amounts. Cefazolin is considered compatible with breast-feeding by the American Academy of Pediatrics.
B
Adverse Effects for Mom:
Diarrhea, anorexia, seizures, pseudomembranous colitis, nephrotoxicity, renal failure, leucopenia, thrombosytopenia, agranulocytosis, neutopenia, lymphcytosis, eosinophilia, pancytopenia, hemolytic anemia, anaphylaxis, serus sickness, Stevens-Johnson syndrome

Adverse Effects for Baby:
A positive direct and indirect antiglobulin (Coombs) test may occur in neonates of mothers who received cephalosporins before delivery.

Nursing Intervention:
Assess for signs of nephrotoxicity; I&O daily, Assess electrolytes; Assess bowel pattern daily; Watch for anaphylaxis and signs of overgrowth of infection; Evaluate decreased symptoms of infection, negative C&S. Have patient use yogurt or buttermilk to maintain intestinal flora, decrease diarrhea.

Drug Name
Use
Action
Contraindications
Dose/Route
Lactation Concerns
Pregnancy Category
Generic/Trade:
hydrocortisone/ Anusol

Drug Class corticosteriod Reducing swelling, itching, and discomfort associated with certain rectal conditions.

It works by depressing the formation, release, and activity of different cells and chemicals that cause swelling, redness, and itching
Hypersensitivity, viral infections, fungal infections

There are no data on the excretion of topically applied hydrocortisone into human milk
C
Adverse Effects for Mom:
Acne, atrophy, epidermal thinning, purpura, striae

Adverse Effects for Baby:
There are no controlled data in human pregnancy.
Nursing Intervention:
Assess for systemic absorption, increased temp,…