Pasion, James Nicole R.

BSN – 2

NCM 101 Lec Assignment

Drug Dose Route Action desired Nursing

implication
Methergine 1 mL, 0.2 mg Intramuscularly, This medication is Monitor fundal
intravenously, used height and
orally after childbirth to consistency and
help stop the amount and
bleeding from the character of the
uterus. lochia.

Syntocinon IV:10 units Intravenous, Stimulates uterine Fetal maturity,

infused at 20– Intramuscular smooth muscle, presentation,
40 milliunits/min. producing uterine and pelvic
contractions adequacy should
IM: 10 units after similar to those in be assessed
delivery of spontaneous prior to
placenta. labor. Has administration of
vasopressor and oxytocin for
antidiuretic induction of
effects. labor.
Nubain IM, Subcut, IV IM, Subcut, IV Binds to opiate Assess BP,
(Adults): Usual receptors in the pulse, and
dose is 10 mg q CNS. Alters the respirations
3– 6 hr perception of and before and
response to periodically
IM, Subcut, IV painful stimuli during
(Children): 0.1– while producing administration. If
0.15 mg/kg q 3– generalized CNS respiratory rate
6 hr depression. In is 10/min, assess
addition, has level of sedation.
IV (Adults): Initial partial antagonist Physical
—0.3– 3 mg/kg properties, which stimulation may
over 10– 15 min. may result in be sufficient to
opioid withdrawal prevent
IV (Adults): 2.5– in physically significant
5 mg; may dependent hypoventilation.
repeat dose. patients.
Phenergen 25 mg Parenteral, Directly Directly
rectal, oral stimulates uterine stimulates
and vascular uterine and
smooth muscle. vascular smooth
Therapeutic muscle.
Effects: Uterine Therapeutic
contraction. Effects: Uterine
contraction.
Valium PO (Adults): 2– PO, IM, IV Depresses the Monitor BP,
 10 mg 2– 4 CNS, probably by pulse, and
times daily. potentiating respiratory rate
GABA, an prior to and
IM, IV (Adults): inhibitory periodically
2– 10 mg, may neurotransmitter. throughout
repeat in 3– 4 hr Produces skeletal therapy and
as needed. muscle relaxation frequently during
by inhibiting IV therapy.
PO (Children 6 spinal
mo): 1– 2.5 mg polysynaptic
3– 4 times daily. afferent
pathways. Has
IM, IV (Children anticonvulsant
1 mo): 0.04– 0.3 properties due to
mg/kg/dose q 2– enhanced
4 hr to a presynaptic
maximum of 0.6 inhibition.
mg/kg within an
8 hr period if
necessary.
Mefenamic acid Applies to the PO Mefenamic Acid
following Assess patients
strength(s): 250 is rapidly
who develop
mg absorbed after
oral severe diarrhea
administration. In and vomiting for
two 500-mg
dehydration and
single oral dose
studies, the mean electrolyte
extent of imbalance.
absorption was
30.5 mcg/hr/mL
(17% CV). The
bioavailability of
the capsule
relative to an IV
dose or an oral
solution has not
been studied.

Lidocaine HCI : 1– 1.5 mg/kg IV, Endotracheal IV, IM: Suppresses Signs and
bolus; may repeat automaticity and symptoms of
doses of 0.5– 0.75 spontaneous toxicity include
mg/kg q 5– 10 min depolarization of confusion,
 up to a total dose the ventricles excitation, blurred
of 3 mg/kg; may during diastole by or double vision,
then start Signs and nausea, vomiting,
continuous symptoms of ringing in ears,
infusion of 1– 4 toxicity include tremors,
mg/min. confusion, twitching,
excitation, blurred seizures, difficulty
or double vision, breathing, severe
nausea, vomiting, dizziness or
ringing in ears, fainting, and
tremors, twitching, unusually slow
seizures, difficulty heart rate.
breathing, severe
dizziness or
fainting, and
unusually slow
heart rate.altering
the flux of sodium
ions across cell
membranes with
little or no effect
on heart rate.
Local: Produces
local anesthesia by
inhibiting transport
of ions across
neuronal
membranes,
thereby preventing
initiation and
conduction of
normal nerve
impulses.
IVF 1L @ 30gtts/min IV Hypertonic Do not
Solutions are administer
those that have unless solution is
an effective clear and
dadsae container is
osmolarity undamaged.
greater than the Caution must be
body fluids.This exercised in the
pulls the administration of
fluid into the parenteral fluids,
vascular by especially those
osmosis containing
resulting in an sodium ions to
increase patients
vascular volume. receiving
It raises corticosteroids or
intravascular corticotrophin
osmotic pressure
and provides
fluid, electrolytes
and calories for
energy.