AMPICILLIN
Classification:
Penicillin’s.
Clinical: Antibiotic
Uses: to reduce the
incidence of infection,
antibiotics are often
administered to women
after uncomplicated
childbirth, particularly in
settings where women
are at higher risk of
puerperal infections
morbidities.
Nursing resp.
-in patient with a history
of penicillin allergy, a
skin test may be
performed to determine
current allergic status.
Side effects:
-nausea, vomiting,
diarrhea, rash
Doctors order:
1g
Route: IVTT
Frequency: q6
NALBUPHINE METHYLERGONOVINE METHERGINE OXYTOCIN
Class: Class: Ergot Alkaloids Class: Ergot alkaloids Used to stimulate and
Opioid analgesic used in -is used primarily to control postpartum induction of labor,
the treatment of bleeding. However, because it carries a To promote involution produce uterine
moderate pain to high risk for severe hypertension, it is of uterus contraction.
severe pain. Given in IV. generally reserved for a women who Action: increases tone, rate,
amplitude of contraction
have not responded to safer agents: of uterine smooth muscle.
Side effects:
Side effects: sedation, oxytocin, misoprostol, or carboprost. Therapeutic Effect: Produces Hypertension,
clamminess, nausea and Postpartum use: to increase uterine sustained dysrhythmias, increase
contractions, which shortens
vomiting, dizziness, dry tone and decrease bleeding. The ability third stage
pulse, bradycardia,
mouth, headache to induce sustained uterine contraction of labor, reduces blood loss tachycardia,
make them very effective for these Fetus: dysrhythmias,
Adverse effect: purposes. side effects: Nausea, jaundice hypoxia
Hallucination, blurred Doctors order: 0.2mg/ml, 1ml uterine cramping, Anorexia, nausea,
vision Route: IM stat(the dosage for vomiting vomiting, constipation
postpartum hemorrhage is 0.2mg
Nursing resp. initially.) Doctors order: Nursing responsibilities
Increase fluid intake, Side effects: uterine cramping, nausea 0.2mg/tablet, 1 tablet -Assess vital sign
this med can cause dry and vomiting dizziness. Route: PO -discontinue iF fetal
mouth Ergot toxicity: pain in the arms,legs and Frequency: q6 distress occurs
lower back;numbness, cold hands and Teach patient:
Doctors order: feet, muscular To report if there is
5mg weakness;diarhea;hallucination;seizures blurred vision, itching,
Route: IV and bloody hypercoagulant. swelling
Frequency: Nursing Resp. Doctors order:
8hours PRN -monitor the pt BP TF#4 PLR1L+10 units
-protect drugs from exposure to light oxytocin @120cc/hr
-monitor for side effects of symptoms
of ergot toxicity
PT teaching:
-advise pt that she will feel more
intense uterine cramps after receiving
the drug but may receive analgesics for
pain
-Encourage the pt to avoid smoking.
 Nicotine increases vasoconstrictive
properties of these drugs.
-if the pt is breastfeeding, explain that
the drug lowers serum prolactin levels
and has potential to inibit postpartum
lactation.

MEFENAMIC ACID OMEPRAZOLE PLASIL(METOCLOPRAMIDE) FONDAPARINUX(ARIXTRA) PARACETAMOL

Class: Analgesic drugs Class: proton pump Class: Class: Factor XA inhibitors
inhibitors
Uses: for mild to Used for post-operative nauseas and Uses: is an injectable blood
moderate pain reliever, it Uses: a medicine to vomiting thinner that helps prevent Uses: painkiller and
is an anti-inflammatory treat heartburn or blood clots from forming in works as fever reducer.
non-steroidal drug, works indigestion Side effects: the legs of dvt or from -does not have
by reducing the hormones Drowsiness travelling to your lungs significant anti-
which cause inflammation Side effects: Restlessness (pulmonary embolism) inflammatory disease
and pain in the body. -Occasional diarrhea fatigue
-abdominal pain Dry mouth Side effects: Doctors order:
Side effects: dizziness, -nausea Vomiting -may cause bleeding 500mg/tab
headache, GI distress Dizziness -anemia Dosage: 1 tablet P.O
Doctors order: -insomnia Frequency: q4 for fever
Doctors order: 40mg 1 capsule Nursing resp. -FEVER
500 mg 1 tablet Route: PO Evaluate therapeutic response, absence DISSINES
Route: PO Frequency: twice a of nausea, vomiting anorexia fullness Side effects:nausea,
Frequency: q6 taken after day(BID) Doctors order: vomiting, abdominal
meal Can be taken 1 hour Doctors order: Dosage: 2.5 mg pain.
before meals. DOSAGE: 10 mg Route: SQ
Route: IVTT Frequency: once a day
Frequency: q6 hours PRN Nurs resp.
use only if clearly
needed.
Drink with food or milk to
decrease gastric symptoms
if needed.

Home meds:
Multivitamins +FESo4
Mefenamic Acid Cefuroxime Ascorbic Acid
Uses: used to treat or
Class: Analgesic drugs Pharmacotherapeutic: Class: Vitamin C prevent vitamin deficiency
second generation Uses: aids in the absorption of due to poor diet or during
Uses: for mild to cephalosporin iron and in the conversion of folic acid. pregnancy, vitamins and
moderate pain reliever, it Vitamin C is not stored in the body and is iron are important to help
is an anti-inflammatory Class: Antibiotic excreted readily keep you in good health.
non-steroidal drug, works in the urine
by reducing the hormones Uses: used to treat - Vitamin C is needed for carbohydrate Side effects:
which cause inflammation bacterial infection in metabolism and protein and lipid -constipation
and pain in the body. many different parts of synthesis. Collagen -diarrhea
the body. It works by synthesis also requires vitamin C because -upset stomach
Side effects: dizziness, killing bacteria or it is part of the intercellular matrix that - stools become black
headache, GI distress preventing their binds cells
growth. together and aids in wound healing.
Doctors order: -acceptable in nursing Dosage:
mothers. Side effects: 1 tab
Dosage: 500mg tab, 1 tab -Nausea Route: PO
Route: PO -vomiting Frequency. X1 month
Frequency: TID x 7 days Side effects: -diarrhea
-nausea, vomiting, -heartburn Nursing resp.
diarrhea -headache -this medication can be
taken with an empty
Doctors order: Doctors order: stomach 1 hour before or 2
Dosage: 1 cap hours after meal.
Dosage: 500mg tab, 1 Route: PO -if stomach upset you can
tab Frequency: OD(once daily) x1month drink it with food.
Route: PO - avoid taking antacids, dairy
Frequency: 1 tab BID products, tea, or coffee
PO x 7 days within 2 hours before or
after this medication
because they may decrease
its effectiveness.