Generic Name Drug Classification & Dosage, Route, Mechanism of Action Adverse Reaction Contraindication Nursing Responsibility

(Brand Name) Indication Frequency

Methergine PC: Ergot Alkaloid IV: Methergin Cardiovascular: > contraindicated in patients >Be alert for adverse reactions
(methylergonovine and Derivative 0.2 mg after ↓ hypertension, temporary hypersensitive to and drug interactions.
maleate) delivery of Stimulates uterine chest pain, palpitation methylergonovine or any
TC: oxytocic, lactation anterior smooth muscles component of the >This drug should be used
stimulant shoulder, after ↓ CNSHallucinations, formulation. extremely carefully because of
delivery of producing sustained dizziness, seizure, it's potent vasoconstrictor
Indication: placenta, or contractions headache >ergot alkaloids are action. I.V. use may induce
Prevention and during ↓ contraindicated with potent sudden hypertension and
treatment of puerperium; thereby shortens the inhibitors of CYP3A4 cerebrovascular accidents. As a
may be third stage of labor Gastrointestinal: Nausea,
postpartum and (includes protease inhibitors, last resort, give I.V. slowly
repeated as vomiting, diarrhea, foul
postabortion azole antifungals, and some over several minutes and
required at taste
hemorrhage caused by macrolide antibiotics); monitor blood pressure closely.
uterine atony or intervals of 2-4 hypertension; toxemia;
subinvolution hours Local: Thrombophlebitis pregnancy

Otic: Tinnitus

Renal: Hematuria

Respiratory: Dyspnea,
nasal congestion
Miscellaneous:
Diaphoresis

Generic Drug Dosage, Mechanism of Action Adverse Reaction Contraindication Nursing Responsibility
Name Classification & Route,
(Brand Indication Frequency
Name)
Oxytocin PC: Exogenous I.V.: 10-40 Oxytocin Cardiovascular: > Contraindicated in patients > Monitor and record uterine contractions, heart rate,
Agent TC: units by ↓ hypertension; increased heart hypersensitive to the drug or BP, intrauterine pressure, fetal heart rate, and blood
oxytocic, I.V. Causes potent and rate, systemic venous return, any of its component. loss q15.
lactation infusion in selective and cardiac output, and
stimulant 1000 mL of stimulation of uterine arrhytmias CNS: seizures, > Also contraindicated in >Be alert for adverse reaction
intravenous and mammary gland coma from water cephalopelvic disproportion or
Indication:Induc fluid at a smooth muscles intoxication Gastrointestinal: delivery that requires >Monitor I/O. Antidiuretic effect may lead to fluid
tion of labor at rate ↓ Nausea, vomiting, GU: conversion, as in tranverse lie; overload, seizures, and coma
term; control of sufficient to producing sustained titanic uterine contractions, in fetal distress when delivery
postpartum control contractions abruption placentae, isn’t imminent; in prematurity >never give oxytocin simultaneously by more than
bleeding; uterine ↓ impaired uterine blood flow, and in severe toxemia, one route.
adjunctive atony Induces labor and milk pelvic hematoma hypertonic uterine patterns,
therapy in ejection and reduces Hematologic: total placenta previa or vasa
post partum bleeding afibrinogenemia Respiratory: >have 20% solution magnesium sulfate available for
management of previa.
anoxia, asphyxia relaxation of the myometrium.
abortion
> Also contraindicated in fetal
 distress. >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 prescriber

5% Dextrose in Lactated Ringer's Injection provides electrolytes and calories, and is a source of water for hydration. It is capable of inducing diuresis
depending on the clinical condition of the patient. This solution also contains lactate which produces a metabolic alkalinizing effect.

Sodium, the major cation of the extracellular fluid, functions primarily in the control of water distribution, fluid balance and osmotic pressure of body fluids.
Potassium, the principal cation of intracellular fluid, participates in carbohydrate utilization and protein synthesis, and is critical in the regulation of nerve
conduction and muscle contraction, particularly in the heart.

Chloride, the major extracellular anion, closely follows the metabolism of sodium, and changes in the acid-base balance of the body are reflected by changes
in the chloride concentration. Calcium, an important cation, provides the framework of bones and teeth in the form of calcium phosphate and calcium
carbonate. Sodium lactate is a racemic salt containing both the levo form, which is oxidized by the liver to bicarbonate, and the dextro form, which is
converted to glycogen. Lactate is slowly metabolized to carbon dioxide and water, accepting one hydrogen ion and resulting in the formation of bicarbonate
for the lactate consumed. These reactions depend on oxidative cellular activity.

Dextrose provides a source of calories. Dextrose is readily metabolized, may decrease losses of body protein and nitrogen, promotes glycogen deposition and
decreases or prevents ketosis if sufficient doses are provided

Indications and Usage for Dextrose in Lactated Ringer'sThis solution is indicated for use in adults and pediatric patients as a source of electrolytes, calories and
water for hydration. ContraindicationsThis solution is contraindicated where the administration of sodium, potassium, calcium, chloride or lactate could be
clinically detrimental.Lactate administration is contraindicated in severe metabolic acidosis or alkalosis, and in severe liver disease or anoxic states which
affect lactate metabolism.Solutions containing dextrose may be contraindicated in patients with hypersensitivity to corn products.

How supplied:5% Dextrose in Lactated Ringer's Injection is supplied sterile and nonpyrogenic in EXCEL® Containers. The 1000 mL containers are packaged
12 per case and the 500 mL containers are packaged 24 per case.

Nsg resp:Check for minute leaks by squeezing solution container firmly. If leaks are found, discard solution as sterility may be impairedNOTE: Before use,
perform the following checks:Inspect each container. Read the label. Ensure solution is the one ordered and is within the expiration date. Invert container and
carefully inspect the solution in good light for cloudiness, haze, or particulate matter. Any container which is suspect should not be used. Use only if solution is
clear and container and seals are intact. Preparation for Administration

1. Remove plastic protector from sterile set port at bottom of container.

2. Attach administration set. Refer to complete directions accompanying set.

TO Add Medication Before Solution Administration

1. Prepare medication site.

2. Using syringe with 18–22 gauge needle, puncture medication port and inner diaphragm and inject.
3. Squeeze and tap ports while ports are upright and mix solution and medication thoroughly.

Contents-Vit A 1,660 iu, vit D3 200 iu, vit E 10 iu, vit B1 1.5 mg, vit B2 1.7 mg, vit B3 20 mg, vit B6 1 mg, vit B12 2 mcg, vit C 60 mg, folic acid 100 mg, Na fluoride 1 mg, Fe fumarate 16
mg, Ca carbonate 30 mg, Zn sulfate 1 mg
Indication- Dietary supplement for pregnant & lactating women.
Dosage- 1 cap daily.
Administration- May be taken with or without food (May be taken w/ meals for better absorption or if GI discomfort occurs.).
Classification- Vitamins & Minerals (Pre & Post Natal) / Antianemics
A11JB - Vitamins with minerals ; Used as dietary supplements.
Vita OB capsule vita OB 100’s
Per cap Fe sulfate 250 mg (equiv to 75 mg elemental Fe). Per 5 mL syr Fe sulfate heptahydrate 220 mg (equiv to 44 mg elemental Fe). Per 0.6 mL syr (oral drops) Fe sulfate
heptahydrate 75 mg (equiv to 15 mg elemental Fe)
Prevention & treatment of anemia due to Fe deficiency, anemia associated w/ undernourishment, pregnancy & menstrual blood loss.
Cap 1 cap daily. Syr/Drops Prevention 0.3-0.6 mL daily; therapeutic tid. Adult 1 tbsp, childn 1/2-1 tsp, infants 0.6 mL.
Should be taken with food (Take after meals.).
GI irritation, blackening of stool.
Vitamins & Minerals (Pre & Post Natal) / Antianemics

Ferglobin capsule -Ferglobin 100's Ferglobin drops - Ferglobin 15 mL

Ferglobin syrup - Ferglobin 60 mL