Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic: Oxytocin

Brand:

Classification

Pharmacologic

Class: Posterior

pituitary hormone

Therapeutic Class:

Uterine active

agent

Available Forms:

10 units/ml

in1ml ampule,

vial or syringe

incompatible IV

solution

To induce or

stimulate labor.

Contraindications

Hypersensitive to

drug when vaginal

delivery is advised-

CPD is present-

when delivery

requires conversion

as in transverse lie.

Side Effects

CV:Hypertension,increased heartrate, systemicvenous return,cardiac outputGI:Nausea,vomitingRESPIRATORY:Anoxia, asphyxiaOTHERS:Low APGARscore at 5 mins.

Oxytocin can be

very useful for

helping labor.

However, there are

certain risks with

using it. Oxytocin

causes contractions

of the uterus. In

women who are

unusually sensitive

to its effects, these

contractions may

become too strong.

1. Continuously monitor

contractions, fetal and

maternal heart rate, and

maternal blood pressure

andECG.

2. Discontinueinfusion if

uterinehyperactivity occurs.

3. Monitor patientextremely

closelyduring first

andsecond stages oflabor

because of riskof cervical

laceration,uterine rupture

andmaternal and fetaldeath.

4. Assess fluid intakeand

output. Watch forsigns and

symptomsof water

intoxication

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic:

Brand:

Classification

Functional:

Chemical:

Dosage:

Route:

Frequency:

Timing:

Oxytocin

↓

Causes potent and

selective stimulation

of uterine and mammary

gland smooth muscles

↓

 producing sustained

contractions

↓

Induces labor and milk

ejection and reduces

post partum bleeding

Contraindications

Cardiovascular:

hypertension; increased

heart rate, systemic venous

return, and cardiac output,

and arrhytmias

CNS: seizures, coma from

water intoxication

Gastrointestinal: Nausea,

vomiting,

GU: titanic uterine

contractions, abruption

placentae, impaired uterine

blood flow, pelvic hematoma

Hematologic:afibrinogenemi

a

Respiratory: anoxia, asphyxia

In rare cases, this

may lead to tearing

of the uterus. Also, if

contractions are too

strong, the supply of

blood and oxygen to

the fetus may be

decreased.

Oxytocin may cause

jaundice and eye

problems such as

retinal hemorrhage

in some newborn

infants

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician: Dosage, Route,

Name of Drug Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic:

methylergonovine

maleate

Brand:

Methergine

Classification

PC:

Ergot Alkaloid

and Derivative

TC:

oxytocic, lactation

stimulant

IV:0.2 mg after

delivery of

anterior shoulder,

after delivery of

placenta, or

during

puerperium; may

be repeated as

required at

intervals of 2-4

hours

Methergin

↓

Stimulates uterine

smooth muscles

↓

 Producing sustained

contractions

↓

thereby shortens the

third stage of labor

Prevention and

treatment of

postpartum and

post abortion

hemorrhage caused

by uterine atony or

sub involution

Contraindications Side Effects

Nausea; vomiting.

Caution should be

exercised in the

presence of sepsis,

obliterative vascular

disease. Also use with

caution during the

second stage of labor.

The necessity for

manual removal of a

retained placenta

should occur only

rarely with proper

technique and

adequate allowance of

time for its

spontaneous

separation.

Be alert for adverse

reactions and drug

interactions. This drug

should be used extremely

carefully because of its

potent vasoconstrictor

action. 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.

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic:

Brand:

Classification

Functional:

Chemical:

Dosage:

Route:

Frequency:

Timing:

Contraindications

Contraindicated in

patients

hypersensitive to

methy lergonovine or

any component of

theformulation. ergot

alkaloids are

contraindicated with

potent inhibitors of

CYP3A4 (includes

protease inhibitors,

azole antifungals, and

some macrolide

antibiotics

hypertension toxemia;

pregnancy

Cardiovascular:

hypertension,

temporary chest pain,

palpitation

CNS: Hallucinations,

dizziness, seizure,

headache

Gastrointestinal:

Nausea,

vomiting ,diarrhea, foul

taste

Local: Thrombophlebitis

Otic: Tinnitus

Renal: Hematuria

Respiratory: Dyspnea,

nasal congestion

Miscellaneous:

Diaphoresis

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic: 2%

Lidocaine

Brand:

Classification

Antiarrhythmic,

Anesthetic (local

and general)

5mL

(100mg/5mL)

An amide type local

anaesthetic. It

stabilizes the

neuronal membrane

and inhibits sodium

ion movements, which

are necessary for

conduction of

impulses. In the heart,

lidocaine reduces

phase 4depolarisation

and automaticity.

Duration of action

potential and effective

refractory period are

also reduced.

Pulse less

ventricular

fibrillation or

ventricular

tachycardia

Sympathetic nerve

block

Contraindications

Hypovolemia

Heart block or other

conduction

disturbances

Dizziness,

Paraesthesia,

Drowsiness,

Confusion,

Respiratory

depression

Convulsions

Side Effects

Potentially fatal:

Hypotension and bradycardia leading to cardiac arrest

Anaphylaxis

Hepatic or renal

impairment

CHF and following

cardiacsurgery

Bradycardia

Respiratory

depression

Porphyria

Elderly or

debilitated patients

Pregnancy

Additive cardiac effects with

IV phenytoin

Effects antagonized by

hypokalaemia caused by

acetazolamide, loop

diuretics and thiazides.

Dose requirements may be

increased with long-term

use of phenytoin and other

enzyme-inducers.

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic: Hyoscine

Brand: Buscopan

Classification

Functional:

Anticholinergic/

antispasmodic

Child 6-12 yr 1 tab

tds.  Amp Adult &

adolescent >12

yr 1-2 amp (20-40

mg). Max 100

mg/day. Infants &

childn Severe cases:

0.3-0.6 mg/kg body

wt. Max 1.5 mg/kg

body wt/day. To be

administered via

slow IV, IM or SC inj

several times daily

May be taken with or

without food.

Swallow whole, do

not

break/crush/chew.

Tab GIT & GUT spasm.

Irritable bowel

syndrome (IBS). Amp

Acute GI, biliary &

genito-urinary spasm,

including biliary & renal

colic. As an aid in

diagnostic & therapeutic

procedures where

spasm may be a problem

eg gastroduodenal

endoscopy & radiology.

Tachycardia,

dizziness, dry

mouth, dishydrosis,

urinary retention.

Tab Allergic

reactions, dyspnea,

painful red eye w/

loss of vision. Amp

Anaphylactic

reactions,

accomodation

disorders,

mydriasis,

increased IOP,

decreased BP,

flushing.

Tachycardia or other

cardiac problems.

Thyroid gland

problems. Urinary

retention,

constipation, fever.

May impair ability to

drive or operate

machinery. Pregnancy

& lactation

Asses for eyepain; d/c use

Asses for parkinsonism,

extra pyramidalsymptoms

Asses for urinary hesitancy,

retention, palpate bladder of

retention occurs.

Asses for constipation

Asses for tolerance overlong

term therapy

Asses for mental status.

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic:

Brand:

Classification

Functional:

Chemical:

Dosage:

Route:

Frequency:

Timing:

Contraindications

Megacolon,

myasthenia gravis,

glaucoma. Women

of child-bearing

potential. Amp

Untreated narrow

angle glaucoma,

prostate

hypertrophy w/

urinary retention,

mechanical stenosis

in GIT, tachycardia,

IM inj in patients on

anticoagulants.

Side Effects

Constipation, dry mouth, trouble urinating, or nausea could occur.

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic:

Brand:

Classification

Functional:

Chemical:

Dosage:

Route:

Frequency:

Timing:

Contraindications Side Effects

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic:

Brand:

Classification

Functional:

Chemical:

Dosage:

Route:

Frequency:

Timing:

Contraindications Side Effects

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic:

Brand:

Classification

Functional:

Chemical:

Dosage:

Route:

Frequency:

Timing:

Contraindications Side Effects

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________––––

Name of Patient: Attending Physician:

Name of Drug

Dosage, Route,

Frequency,

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities

Generic:

Brand:

Classification

Functional:

Chemical:

Dosage:

Route:

Frequency:

Timing:

Contraindications Side Effects

Age: Ward/Bed Number: Impression/Diagnosis: Student’s Name: ___________________________ Clinical Instructor: _________________________