Drug Classification Mechanism of Indication Contraindication Adverse effects Nursing

action responsibilities
Generic Name: Oxytocic Directly Prevention CNS: headache, Inform patient
Methylergonovine stimulates and Hypersensitivity hallucination, and
Maleate vascular treatment of seizures, family of reason
Dosage and smooth- muscle postpartum to drug CVA (with I.V. for
Brand Name: Route: contractions in hemorrhage. use) using drug, and
Methergin uterus • Hypertension CV: provide
For and cervix and hypertension, reassurance.
decreases • Toxemia hypotension,
stimulation of
bleeding after transient chest • Tell patient drug
labor: delivery pain,
• Pregnancy may cause
(except during palpitations,
10 units(1ml) nausea,
third stage of thrombophlebitis
of drug vomiting,
EENT: tinnitus,
labor) dizziness,
infused in 1L
nasal congestion increased blood
D5LRS
GI: nausea, pressure,
before
vomiting, headache,
deliver
diarrhea ringing in ears,
GU: hematuria chest
For pain, or shortness
Reduction of of
Musculoskeletal
Postpartum breath. Advise her
bleeding: to
: leg cramps
1 amp after Respiratory: report severe or
delivery of dyspnea troublesome
placenta symptoms.
Skin:
diaphoresis, • As appropriate,
rash, review all other
allergic reactions significant and
Other: foul taste life-
threatening
adverse
reactions and
interactions,
especially those
related to the
drugs
and tests
mentioned
above.
 Drug Classification Mechanism of Indication Contraindication Adverse effects Nursing
action responsibilities
Generic name: Oxytocic drug Acts on Induction of >Contraindicated Cardiovascular: >Monitor and
Oxytocin smooth labor in hypertension; record
Dosage and muscle of at term; control patients increased heart uterine
Brand name: Route: the uterus to of hypersensitive rate, contractions,
Pitocin stimulate postpartum
to the drug or any systemic venous heart
For contractions: bleeding
of return, and rate, BP,
stimulation of response
depends on its component. cardiac intrauterine
labor: 10 units output, and pressure, fetal
the uterine
threshold of > Also 3omiting3as heart rate,
(1ml) of drug contraindicated
excitability. It and blood loss
infused in 1L is selective in cephalopelvic CNS: seizures, q15.
D5LRS before for the disproportion or coma from water
deliver uterus, delivery that intoxication >Be alert for
especially requires adverse
For toward the conversion, as in Gastrointestinal: reaction
Reduction of end of tranverse lie; in Nausea,
Postpartum pregnancy, vomiting, >Monitor I/O.
fetal
bleeding: during labor, Antidiuretic
and distress when
1 amp after GU: titanic effect may lead
immediately delivery
delivery of uterine to fluid
following isn’t imminent; in
placenta contractions, overload,
delivery. prematurity and
abruption seizures, and
Oxytocin in
stimulates placentae, coma
severe toxemia,
rhythmic impaired
contractions hypertonic uterine uterine blood >never give
of the uterus, patterns, total flow, oxytocin
increases placenta
the previa or vasa pelvic hematoma simultaneously
frequency of previa. by more
existing > Also Hematologic: than one route.
contractions contraindicated afibrinogenemia
and raises in fetal distress. Respiratory: >have 20%
the tone of anoxia, asphyxia solution
uterine
musculature. magnesium
sulfate
available for
relaxation of
the myometrium.

>If contractions
are less
than 2 minutes
apart, if
they’re above
50mm Hg
,or if they last
90seconds
or longer, stop
infusion,
and turn patient
on her
side, and notify
physician
or midwife.
 Drug Classification Mechanism of Indication Contraindication Adverse effects Nursing
action responsibilities
Generic name: Anticholinergic Hyoscine To reduce Contraindicated CNS: dizziness, >Be alert for
Hyoscine Butylbromide secretions in headache, adverse
Butylbromide Dosage and ↓ perioperatively patients with restlessness, reactions and
Route : Inhibits angle- disorientation, drug
Brand name: Given via closure glaucoma,
muscarinic irritability, fever interactions.
Buscopan IV, 1mg/ml obstructive
actions of
to promote uropathy,
acetylcholine in GI: constipation, >Encourage pt.
cervical asthma, COPD,
the dry mouth, to void
effacement. myasthenia
ANS nausea, >Monitor BP for
gravis,
vomiting Possible
↓ paralytic ileus,
hypotension.
Affecting neural intestinal atony,
pathway & CV: palpitations,
unstable CV. >Monitor
↓ tachycardia,
cervical
Relieves flushing
effacement and
spasticity,
EENT: dilated dilatation
nausea and
5omiting; pupils, blurred
reduces vision,
secretions; and photophobia,
blocks cardiac dysphagia
vagal reflexes.
GU: urinary
↓ hesitancy,
Promotes urinary
cervical retention
effacement
Skin: rash,
 dryness

La Consolacion College Manila

School of Nursing

Drug Study

Submitted by:
Ryan James A. Flores
BN42