Case
OLIVIA JONES-Vsim, Complete solution, latest Spring 2020/2021.
- Course
- Institution
OLIVIA JONES-Vsim, Complete solution, latest Spring 2020/2021.
[Show more]
Seller
Follow
Toian
Reviews received
Content preview
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialOLIVIA JONES VSIM
OLIVIA JONES-Vsim.
Name of Drug: Oxytocin
Pharmacologic Class: exogenous hormones
Therapuetic Class: oxytocics, lactation stimulant
Therapeutic Level:
Indication for Use:
IV: Induction of labor at term. IV: Facilitation of threatened abortion. IV, IM: Postpartum
control of bleeding after expulsion of the placenta.
The nursing interventions associated with each drug are:
Assessed fetal maturity, presentation, and pelvic adequacy prior to administration of oxytocin for
induction of labor.
Assess character, frequency, and duration of uterine contractions; resting uterine tone; and fetal
heart rate regularly throughout administration. If contractions occur 2 min apart and are 50– 65
mm Hg on monitor, if they last 60– 90 sec or longer, or if a significant change in fetal heart rate
develops, stop infusion and turn patient on her left side to prevent fetal anoxia. Notify health care
professional immediately.
Monitor maternal BP and pulse frequently and fetal heart rate continuously throughout
administration.
Monitor patient for signs and symptoms of drowsiness, listlessness, confusion, headache, anuria,
and notify physician or other health care professional if they occur.
Monitor maternal electrolytes due to water retention that may result in hypochloremia or
hyponatremia.
Name of Drug: Magnesium Sulfate
Therapeutic Class: Electrolyte replacements /supplements and mineral
Pharmacologic Class: Minerals/electrolytes
Therapeutic Level: 3.5 to 7 mEq/L, or 4.2 to 8.4 mg/dL.
Indication for Use:
Treatment of hypo magnesium and hypertension; prevention of seizures r/t eclampsia and pre-
eclampsia
Downloaded by: dennys | empirecyber1@gmail.com
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
The nursing interventions associated with each drug are:
Monitor pulse, BP, respirations, and ECG frequently throughout administration of parenteral
magnesium sulfate. Respirations should be at least 16/min before each dose.
Monitor neurologic status before and throughout therapy. Initiate seizure precautions. Patellar
reflex /knee jerk should be assessed before each parenteral dose of magnesium sulfate. If
response is absent, no additional doses should be administered until positive response is
obtained.
Monitor newborn for hypotension, hyporeflexia, and respiratory depression if mother has
received magnesium sulfate.
Monitor intake and output ratios. Urine output should be maintained at a level of at least 100
mL/4 hr.
Monitor serum magnesium levels and renal function regularly during administration of
parenteral magnesium sulfate.
PATIENT TEACHINGS
Name of Drug: Oxytocin
Patient Education:
Advise patient to expect contractions like menstrual cramps after administration has started.
Educate patient to immediately report adverse reactions, such as site irritation, nausea, bleeding,
blurred vision, difficulty speaking, wheezing, itching, and swelling.
Educate patient and family about the administration and use of the drug.
Potential Nursing Diagnoses for each drug:
Deficient knowledge, related to medication regimen (Patient/Family Teaching)
Name of Drug: Magnesium Sulfate
Patient Education:
Explain purpose of medication to patient and family.
Explain use and administration of drug to patient and family.
Emphasize importance of keeping lab appointments.
Educate patient about warning signs of high or low magnesium level and to report all adverse
effects/reactions.
Downloaded by: dennys | empirecyber1@gmail.com
Distribution of this document is illegal
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Toian. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
Exam (elaborations) ·
EDU230 Liberty University -Quiz 2 EDUC 230 well answered
