Note: Any up-dates are to be completed in different color ink.

k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME DOSE, ROUTE, TIMES EFFECTS PREGANCY
GENERIC/TRADE INDICATION/ ACTION DOSGE FOOD/DRUG SIDE EFFECTS FETUS AND/OR NURSING CONSIDERATIONS
CLASSIFICATION RANGE INTERACTIONS NEONATE
(PHARM) AND (include therapeutic dose
PREGNANCY calculation)
CATEGORY
Treatment/prevention of PO/MI/IV Concurrent/sequential use Headache, Uterine contraction Assess hx of hypersensitivity,
Ergonovine maleate/ postpartum/postabortal Ergonovine- with vasoconstrictors hypertension, (decrease hemorrhage) BP, serum calcium, IV calcium
etylergonovine hemorrhage due to uterine Adults IM 0-2mg; may /regional anesthesia may particularly when gluconate if hypo-calcemic. Do
maleate atony, with full be repeated for severe affect BP. administered IV, not administer
(Methergine) supervision may be given hemorrhage Additive Compatibilities- GI N/V, possible discolored/precipitated solution,
in second stage of labor IV adults Route should amikacin, cephapirin, symptoms of ergot IV infuse slowly, use infusion
Oxytoxic following delivery of be restricted to sodium bicarbonate. poisoning. control device, Have emergency
anterior shoulder lifesaving situations support equipment available.
Preg. Cat. NA/C (methylergonovine). because of higher rate of PO avoid excessive moisture in
Oxytoxic effect due to side effects. storage, Injection store in cold
direct stimulation of place (46oF) do not exceed
uterine smooth muscle, Methylrgonoine - 60days at room temperature.
OLDs resulting in intense Adult PO 0-2mg; 3-4 Monitor BP, pulse, serum
Page 394-395 and contractions followed by times/day in puerperium calcium, signs of ergotism
Mosby’s Nsg Drug periods of relaxation, for a maximum of 1 wk. (N/V, dizziness, cramps, anuria,
Card 108 accordingly, increase Adult IM 0.2mg after convulsions). During
uterine tone, decrease delivery of anterior Postpartum monitor fundal
postpartum uterine shoulder, placenta, or height/tone, assess
bleeding, drug can during puerperium prn amount/character of lochia.
occasionally produce q2-h Maintain emotional support.
severe hypertensive Adult IV –Route Explain process to patient,
episodes, esp in toxemic limited to lifesaving procedure and rationale.
patients. situations because of
increase rate of adverse
effects

PHARM