Medication Quiz part 1 study guide- OB clinical rotation

class of ferrous sulfate and other name

feosol, mineral and vitamin supplement, PO

ferrous sulfate use

prevent/treat iron deficiency anemia

ferrous sulfate MOA

supplement of mineral

ferrous sulfate nursing implications/patient education

take on empty stomach, may cause GI upset, take between meals or at bedtime, can be taken with water or juice, avoid antacids or antibiotics (decrease absorption), taken with vit c can increase absorption, don’t crush or chew, makes stools black

ferrous sulfate dosing

325 mg daily, max 325 mg 24 hrs

ferrous sulfate common reactions

constipation, abdominal pain, N/V, heartburn

ferrous sulfate serious adverse effects

allergic reaction, chest pain, SOB, bloody stools, hematemesis

acetaminophen name and class

tylenol, analgesic, antipyretic

acetaminophen use

fever, mild to moderate pain, moderate to severe pain

acetaminophen MOA

analgesic: anti-inflammatory, reduce pain by inhibiting COX-2 and increase pain threshold

antipyretic: blocks prostaglandin synthesis in CNS, blocks pyrogens at hypothalamic regulatory center to decrease fever

acetaminophen nursing implications/patient education

follow correct dosing, check other medications if they contain acetaminophen, take with full glass of water, monitor fever and follow-up pain, liver toxicity s/s, avoid alcohol

acetaminophen safe dosing

325-1000mg Q4-6 hrs, MAX 4000 mg daily

acetaminophen common AEs

GI upset, N/V, constipation, agitation, atelactasis, headache, insomnia

acetaminophen serious AEs

liver failure, toxic epidermal necrolysis, pneumonitis

docusate sodium name and class

colace, laxative, stool softener, GI agent, PO

docusate sodium use

constipation

docusate sodium MOA

stool softener laxative draws water into stool, easier to pass

docusate sodium safe dosing

100-300 daily divided doses, MAX 300 mg daily

docusate sodium common AEs

abnormal bitter taste in mouth, diarrhea, N/V, cramping

docusate sodium serious AEs

hepatotoxicity (rare)

docusate sodium patient education

discontinue with pain or discomfort, change in bowel habits in 2 weeks, should take 1-2 days to work (max 3-5), should not use longer than a week, reassess and report if no BM, wait 2+ hrs with other meds

Bupivacaine use

pain (in the on-Qpump)

bupivicaine class

amino acid anesthetic, local musculoskeletal agent

Depo-Provera class and use

contraceptive progestin, hormonal contraceptive

Magnesium sulfate class

anticonvulsant and antiarhythmic

Magnesium sulfate use

pre-e and PTL

morphine sulfate use

pain

betamethasone use

fetal lung maturity

betamethasone class

corticosteroid, antiinflammatory

cefazolin class

first gen cephalosporin, antibiotic/antiinfective

cefazolin use

GBS, C-section prophylaxis, perinatal reproductive tract infections. IV

preservative-free morphine use and name

duramorph, pain, epidural

duramorph class

analgesic, opioid

terbutaline use

tocolytic, SubQ/IV

terbutaline class

beta 2 adrenergic agonist

carboprost (name and use)

hemabate, PPH

carboprost class

prostaglandin, endocrine metabolic agent

Dinoprostone names and use

cervadil, prepidil, cervical ripening (uterine stimulant)

methylergonivine maleate name and use

methergine, PPH, IM and PO (uterine stimulant)

misoprostol name and use

cytotec, cervical ripening, PPH

misoprostol class

prostaglandin analog

tranexamic acid (TXA) name, use

lysteda, PPH, IV (blood modifier agent)