Kurt Ceazar S.F. Millare Group 213A
DRUG
Generic Name: methylergometrin e maleate Brand Name: Methergine
Mrs. Imee Geronimo TPDH(Delivery Room)
ACTION
A semisynthetic ergot al kaloid used for the prevention and control of postpartum postpartum he morrhage. morrhage .
INDICATION
Postpartum hemorrhage and uterine atony, subinvolution.
CONTRAINDICATION
Hypertension. Toxemia. Pregnancy (Cat.C).
PRECAUTIONS
Sepsis. Obliterative vascular disorders. Hepatic or renal disease. 2nd stage of labor. Nursing mothers.
Adverse Reactions
Hyper- or hypotension, nausea, vomiting, chest pain, dyspnea, dyspnea, headache, hematuria, thrombophlebiti s, water intoxication, hallucinations, leg cramps, dizziness, tinnitus, nasal congestion, diarrhea, diaphoresis, palpitations, palpitations, foul taste.
NURSING CONSIDERATION
>Be alert for adverse reactions and drug interactions .>This drug should be used extremely extremely carefully because of its of its potent vasoconstrictor vasoconstric tor acti actio o n. I.V. use may induce sudden hypertension and cerebrovascular accidents. As a last resort, give I.V. slowly over several minutes and monitor blood pressure closely. closely.
DRUG
Generic Name: Propofol Brand Name: Diprivan
ACTION
A rapidly acting general anesthetic that inhibit sympathetic vasoconstrict or nerve activity and decreases vascular resistance
INDICATION
. Anesthesia · Intensive Care Unit Sedation
CONTRAINDICATION
· Impaired cerebral circulation · Hypotension · Nausea and vomiting · IV site burning or stinging
PRECAUTIONS
Labor and Delivery
Adverse Reactio ns
Change in mood or emotions; dizziness; drowsiness; lack of coordination.
DIPRIVAN (propofol) Injectable Emulsion is not recommended for obstetrics, including cesarean section Severe deliveries. DIPRIVAN allergic (propofol) Injectable reactions Emulsion crosses (rash; hives; the placenta, and as with itching; other general anesthetic difficulty agents, the breathing; administration of tightness in DIPRIVAN (propofol) the chest; Injectable Emulsion may swelling of the mouth, be associated with face, lips, or neonatal depression.
tongue); cough; feeling faint; itching; pain, redness, or swelling at the injection site; wheezing.
NURSING CONSIDERATION
>Resuscitative equipment, suction, O2 must be available >Obtain vital sign before administration >Monitor respiratory rate, BP< heart rate, o2 saturation, ABGs, depth of sedation, lipid and triglycerides
