Ob Nursing Drug Cards

Generic Name: meperidineBrand Name(s): Demerol | Pregnancy Category: C | Route of Administration: IM, SUBCUT | Drug Category: opioids analgesic | Indication: labor analgesia | Normal Dosage:Labor analgesia Adult: 50-100 mg given when contractions regularly spaced repeat q1-3h prn | Side Effects:CNS: drowsiness, dizziness, confusion, HA, sedation, euphoria, increased intracranial pressure, seizures, respiratory depression, anaphylaxis |

Nursing Considerations/Teachings/Interventions:
Nursing Consideration: pt should remain recumbent for 1hr after IM/SUBCUT route, inject into large muscle mass
May cause fatal reaction: MAOI’s, carbazine
Tx for Overdose: Naloxone (Narcan) 0.2-0.8 mg IV, O2, IV fluids vasopressors
Assess-
•Pain: location, type, character. Give before pain is extreme and reassess 60 mins after dose.•I & O •CNS Cx: dizziness, drowsiness, decreased LOC, euphoria, pupil reaction
Respiratory dysfunction
Safety measures: •night-light; •call bell within reach
Teach: •Report any CNS Cx or allergic reactions. •If drowsiness occurs call for assistance; •Make position Cx slowly d/t orthostatic hypotension

Nursing Considerations/Teachings/Interventions:
Nursing Consideration: pt should remain recumbent for 1hr after IM/SUBCUT route, inject into large muscle mass
May cause fatal reaction: MAOI’s, carbazine
Tx for Overdose: Naloxone (Narcan) 0.2-0.8 mg IV, O2, IV fluids vasopressors
Assess-
•Pain: location, type, character. Give before pain is extreme and reassess 60 mins after dose.•I & O •CNS Cx: dizziness, drowsiness, decreased LOC, euphoria, pupil reaction
Respiratory dysfunction
Safety measures: •night-light; •call bell within reach
Teach: •Report any CNS Cx or allergic reactions. •If drowsiness occurs call for assistance; •Make position Cx slowly d/t orthostatic hypotension

Generic Name: fentaNYLBrand Name(s): ABSTRAL, Actiq, Fentora, Onsolis, RAN-Fentanyl | Pregnancy Category: C | Drug Category:Opioid analgesic |