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: _________________________
Top Related