MEDICATIONS BEFORE DELIVERY

Trade
Generic Nursing
Name Classification Dosage Route Action Adverse Reaction Side Effects
Name Responsibility
Brand
Brethine Terbuta Terbutaline is The usual Subcutane Is a Increased heart rate, Uncontrollable  Assess your
line in a class of dose of ously, medicatio transient shaking of a part of client and
drugs called terbutaline orally, or n that can hyperglycemia, the body watch out for
betamimetics. is 0.25 inhalation. help to hypokalemia, cardiac  nervousnes signs of
milligrams prevent arrhythmias, s increased
(mg). preterm pulmonary edema,  dizziness respiratory
labor. It’s myocardial ischemia,  drowsiness and heart rate
typically and death have been  difficulty because
given as reported in pregnant falling sometimes,
an women after taking asleep or the heart rate
injection this drug. staying can go as
under asleep high as 110
close  weakness bpm.
medical  headache  Watch for
supervisio signs of
 nausea
n. They paradoxical
 sweating
help bronchospas
prevent  dry mouth
m (wheezing,
and slow cough,
contractio dyspnea,
ns of the tightness in
uterus. It chest and
may help throat),
delay birth especially at
for several higher or
hours or excessive
days. doses. If
During condition
that occurs, advise
period, patient to
doctors withhold
can medication
administer and notify
other physician or
 drugs to other health
help care
ensure the professional
baby is immediately.
born as  Advise
healthy as patient to not
possible. exceed the
recommended
dose or
frequency of
inhalations.
Contact
physician
immediately
if
bronchospas
m is not
relieved by
medication or
is
accompanied
by
diaphoresis,
dizziness, or
other

Magnesi Magnes Antidysrhythm Magnesiu Orally,intr Magnesiu  Circulatory  Flushing  Obtain patient
um ium ics V m amuscularl m sulfate, collapse.  Feeling history – drug
sulfate sulfate sulfate’s y, or mag for  Respiratory uncomforta history,
loading intraosseo short, is paralysis. bly warm allergies,
dose is 4 usly, and used in  Low core  Headache renal
to 6 grams intravenou pregnancy body  Dry mouth function,
in 30 sly. to prevent temperature  Nausea and history of
minutes. seizures (hypothermia)  Blurred heart block,
due to  Excess fluid myocardial
vision
worsening in the lungs damage or
preeclamp (pulmonary concurrent
sia, to edema) use of CNS
slow or  Depressed/ depressants,
stop poor reflexes. digoxin or
preterm  Low blood neuromuscula
labor, and pressure r blocking
to prevent (hypotension) agents
injuries to  Drowsiness. Magnesium
a preterm sulfate may
baby's be
brain. contraindicate
d in some of
these
conditions.
 Assess
maternal and
fetal status
prior to
initiation of
magnesium. –
Maternal vital
signs, oxygen
saturation,
level of
consciousness
,
characteristics
of fetal heart
rate and
uterine
activity
 Baseline vital
signs, DTR at
the start and
minimum of
 every 2 hours,
oxygen
saturation
hourly, breath
sounds should
be auscultated
prior to
initiation and
at a minimum
of every 2
hours.
Neurological
status and
urinary output
prior to
therapy and
reassess per
institution
protocol.
 Administer
magnesium
sulfate
according to
protocol; all
infusions
should be
prepared by
the facility
pharmacy or
the facility
should use
commercially
prepared
solutions