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Terbutaline (brethine) uterine relaxants: How do you monitor pt for expected outcomes or effects of the drug tx?

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7 years ago

Date created

Mar 1, 2020

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Section 1

(25 cards)

Terbutaline (brethine) uterine relaxants: How do you monitor pt for expected outcomes or effects of the drug tx?

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Ergot Alkaloids (ergonovine/Ergotrate and methylergonovine/Methergine): How do you monitor pt for expected outcomes or effects of the drug tx?

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*Perform pad count to mon bleeding. Also monitor lochia after ADM and uterine contractions (strenght, duration, frequency

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Ergot Alkaloids (ergonovine/Ergotrate and methylergonovine/Methergine): how do you correctly ADM the drug?

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Oral, IM or IV in Emergency

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how do you correctly ADM the drug?

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So give IV 4-6g/30 mins loading dose (to get into therapeutic range) and then give 1-3g/hr IV drip to Ck renal function (BUN, creatinine) before giving Mg

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How do you assess for the SEs and ADRs of the meds?

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2. Betamethazone (Celestone): how do you correctly ADM the drug?

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You need to ADM IM once daily for preterm Mom betw 28-32 weeks (WHY?) as well as if Mom & F can handle L for 48 hrs. It's also contraindicated with lactation.

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Uterine relaxants (terbutaline/brethine): how do you apply knowledge of expected actions and effects of the meds to pt care?

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Terbutaline (brethine) uterine relaxants: How do you assess for the SEs and ADRs of the meds?

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With beta adrenergics, you need to assess for MAT and F tachy, palpitations - careful, directed hx; and physical exam and 12 lead ECG tremors jitteriness - anxiety - with the Perinatal Anxiety Screening Scale.

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Uterine relaxants (terbutaline/brethine): how do you correctly ADM the drug?

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Ergot Alkaloids (ergonovine/Ergotrate and methylergonovine/Methergine): How do you assess for the SEs and ADRs of the meds?

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1. uterine cramping can show up if pt, coughs, sneezes, changes position 2. Increase in Sys and Dias BP as well as cardiac dysrhthymia are assessed by BP cuff, ECG 3 Decreased milk production 4. Ergotism or OD: assess for N/V, weakness, muscle pain, insensitivity to cold, extremity paresthesia *5. Contra in preg 6. Mon for decreased milk production 7. If HTN noted while closely monitoring, w/hold dose and call prescriber

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Uterine relaxants (terbutaline/brethine): How do I take appropriate action if pt has an unexpected response to the med?

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Uterine relaxants (terbutaline/brethine): How do you assess for the SEs and ADRs of the meds?

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Back

3. Betamethazone (Celestone): How do you assess for the SEs and ADRs of the meds?

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Correctly assess for ADRs by watching for r/o infection & delayed wound healing AWA mon T & WBCs

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Terbutaline (brethine) uterine relaxants: how do you correctly ADM the drug?

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1. Start at lowest possible dose and ^ as indicated until contractions cease 2. Be certain about recommended dose 3. If GI s/s, advise to take with food. 4. Dilute IV terbutaline by adding each 5 mg to 1000mL D5W or NS to yield conc of 5 micrograms/mL 5. Infuse via microdrip using infusion pump

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Uterine relaxants (terbutaline/brethine): How do you monitor pt for expected outcomes or effects of the drug tx?

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Back

5. Betamethazone (Celestone): How do you monitor pt for expected outcomes or effects of the drug tx?

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Watch for retractions SOB HYPERVENT

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Ergot Alkaloids (ergonovine/Ergotrate and methylergonovine/Methergine): how do you apply knowledge of expected actions and effects of the meds to pt care?

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1. since ergos are use to control PP hemorrhage, do not give before placental delivery 2. PP hemorr is controlled bec of vasoconstrictive properties in the med and could manifest in vasospasm 2. clonic contractions: alternating contraction and then following a quick relaxation

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Ergot Alkaloids (ergonovine/Ergotrate and methylergonovine/Methergine): How do I take appropriate action if pt has an unexpected response to the med?

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*1,Assess and report HTN, Chest pain, ergotism, or hypersensitivity (SOB, itching) 2. Assess and report blood loss, ^T, foul-smelling lochia 3. Check and see if pt has unstable Angina and recent MI bec should be used cautiously 5. If pain of U contractions manifest as a result of ergotism, then ADM analgesics

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1. Betamethazone (Celestone): how do you apply knowledge of expected actions and effects of the meds to pt care?

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To hopefully prevent s/s of neonatal RDS

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Terbutaline (brethine) uterine relaxants: how do you apply knowledge of expected actions and effects of the meds to pt care?

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Hurst MgSO4. How do you apply knowledge of expected actions and effects of the meds to pt care?

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Since it's a CNS depressant: - it can depress smooth, skeletal and cardiac - (which includes cardiac & respiratory!!) It can prevent the influx of Ca ("bec it can be hard like a bone so yiu don't want the U to be hard like a bone" so the Mg is gonna be like a gun being brought to stop the Ca. So it can arrest preterm L And prevent preeclamptic or eclamptic seizures

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4. Betamethazone (Celestone): How do I take appropriate action if pt has an unexpected response to the med?

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How do you monitor pt for expected outcomes or effects of the drug tx?

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How do I take appropriate action if pt has an unexpected response to the med?

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If toxic , then give Ca Gluconate

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Terbutaline (brethine) uterine relaxants: How do I take appropriate action if pt has an unexpected response to the med?

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