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Name)IndicationDosage,Route,FrequencyMechanism of ActionAdver se ReactionContraindicationNursing ResponsibilityHydralazine(Apresoline)Indicati on:Pre-eclampsia /eclampsia5 mg/dosethen 5-10mg every20-30minutes asneeded.Hydra lazineDirectly relaxesarteriolar smoothmuscleVasodilaionLowers BloodPressureCNS: pe ripheralneuritis, headache,dizzinessCV: orthostatichypotension,tachycardia,arryt hmias, angina, palpitations.GI: n/v, diarrhea,anorexiaHematologic:neutropenia,le ukopenia,agranulocytopeniaMetabolic: weightgain, sodiumretentionSkin: rashContra indicated to pt.shypersensitive to thedrug and any of itscomponent and inthose w ith coronaryartery disease or mitralvalvular rheumaticheart disease.Use cautious ly in patients withsuspected cardiacdisease, CVA, or severe renalimpairment, and inthose taking other antihytensives.>Assess blood pressure before starting ther apyand regularly thereafter.>Instruct client to takeoral form with meals.>Inform client thatorthostatic hypotensioncan be minimized byrising slowly and notchang ing positionsuddenly.>Tell pt. not to abruptlystop taking drug, but tocall presc riber if adversereaction occurs.>Tell client to limitsodium intake.Maniulit, Joe anne Mae A. N-304 Group 3 Generic Name(Brand Name)IndicationDosage,Route,FrequencyMechanism of ActionAdver se ReactionContraindicationNursing ResponsibilityHydralazine(Apresoline)Indicati on:Pre-eclampsia /eclampsia5 mg/dosethen 5-10mg every20-30minutes asneeded.Hydra lazineDirectly relaxesarteriolar smoothmuscleVasodilaionLowers BloodPressureCNS: pe ripheralneuritis, headache,dizzinessCV: orthostatichypotension,tachycardia,arryt hmias, angina, palpitations.GI: n/v, diarrhea,anorexiaHematologic:neutropenia,le ukopenia,agranulocytopeniaMetabolic: weightgain, sodiumretentionSkin: rashContra indicated to patients who arehypersensitive to thedrug and any of itscomponent a nd inthose with coronaryartery disease or mitralvalvular rheumaticheart disease. Use cautiously in patients withsuspected cardiacdisease, CVA, or severe renalimp airment, and inthose taking other antihytensives.>Assess blood pressure before s tarting therapyand regularly thereafter.>Instruct client to takeoral form with m eals.>Inform client thatorthostatic hypotensioncan be minimized byrising slowly and notchanging positionsuddenly.Maniulit, Joeanne Mae A. N-304 Group 3 Generic Name(Brand Name)IndicationDosage,Route,FrequencyMechanism of ActionAdver se ReactionContraindicationNursing ResponsibilityPhytomenadione(Vitamin K,Phyllo quinone,menaquinone)>To stimulate theclotting factors of the newborn>To preventh emorrhagicdisease of the Newborn.0.1 cc viaIM to theVastusLateralis of the newbo rnSterility of GI tractAdministration of Vitamin K Increased Synthesisof precursor proteins in the GITmainly factors II,VII, IX, and X are produced andincreased.F rom 30-60%compared to adultclotting factor values, bloodclotting factorsincrease .>The syntheticform of Vitamin K and Vitamin K3(Menadione) cancause allergicreac tion, HemolyticAnemia, andCytotoxicity inliver cells.>Contraindicated tothose wh o arehypersensitive to anycomponent of VitaminK containing products.>Ensure that theadequate dose is givenwhile following the proper IM DrugAdministration.>Appl y pressure to theinjection site to preventfurther bleeding.>Document the givingo f the medication tonewborn to prevent anaccidental doubling of the dose.Maniulit , Joeanne Mae A. N-304 Group 3

Generic Name(Brand Name)IndicationDosage,Route,FrequencyMechanism of ActionAdver se ReactionContraindicationNursing ResponsibilityOxytetracycline(TerramycinOptha lmicOintment,Terak,TerramycinwithPolymyxin B)To preventinfection of theeye which mayderive from floraor presentinfections of thevagina duringnormalspontaneousde liveryTo preventOpthalmianeonatorum ininfants.1 cm stripappliedfrom theinner can thus of the eye tothe outer canthus>Irritation>Redness>Tearing>Iching sensationM aniulit, Joeanne Mae A. N-304 Group 3 Generic Name(Brand Name)IndicationDosage,Route,FrequencyMechanism of ActionAdver se ReactionContraindicationNursing Responsibility NubaineManiulit, Joeanne Mae A . N-304 Group 3 Generic Name(Brand Name)IndicationDosage,Route,FrequencyMechanism of ActionAdver se ReactionContraindicationNursing ResponsibilityLidocaine(Xylocaine)>Injected p rior tonormalspontaneousdelivery toanesthetize thearea of the perineum to beused for episiotomy.>Used as a localanesthesia for Cesarean section.For normalvagina ldelivery:50mg/ml of a 5%hyperbaricsolution or 9mg-15mg(0.6ml-1ml)of a 1.5%solut ion.For CesareanSection:Up to 75 mg(1.5ml) of a5%hyperbaricsolution.LidocaineStab ilizes theneuronal membraneInhibits sodium ionmovemntsConduction of impulses arein hibitedLocal loss of painsensation> Dizziness>Paresthesia>Drowsiness>Confusion>Re spiratoryDepression>Convulsions>Hypovolemia>Heartblock >Other ConductionDisturba nces> Observe for untowardreactions such asdrowsiness, depressedrespiration, or seizures.Maniulit, Joeanne Mae A. N-304 Group 3 Delivery Room Drug Study Download this Document for FreePrintMobileCollectionsReport Document Info and Rating Joe Anne Maniulit Share & Embed Related Documents PreviousNext p. p. p. p. p. p. p. p. p. p. p. p. p. p. p. p. p. p. p. p. p. p.

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