postpartum and newborn drugs
DESCRIPTION
Postpartum and Newborn Drugs. Dena Evans, EdD(c), MPH, BSN, RN, CNE Assistant Professor Department of Nursing The University of North Carolina at Pembroke. Postpartum. See Routine Orders pg. 857. Five Purposes. Prevent uterine atony Relive pain Enhance or suppress lactation - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/1.jpg)
Dena Evans, EdD(c), MPH, BSN, RN, CNEAssistant Professor
Department of NursingThe University of North Carolina at Pembroke
![Page 2: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/2.jpg)
See Routine Orders pg. 857
![Page 3: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/3.jpg)
Prevent uterine atony Relive pain Enhance or suppress lactation Promote bowel function Enhance immunity
![Page 4: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/4.jpg)
NSAIDS• May prolong bleeding time• Take with food or water ↓ GI upset
Narcotics
![Page 5: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/5.jpg)
Systemic analgesics• Decreased alertness
Opioids• Bowel function• Respirations
![Page 6: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/6.jpg)
![Page 7: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/7.jpg)
Redness Ecchymosis Edema Discharge Approximation
![Page 8: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/8.jpg)
Witch hazel Nupercainal onitment Nonpharmacological
• Sitz baths
![Page 9: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/9.jpg)
Medications not used/less popular due to side effects• Chlorotrianisene (Tace)• Deladumone OB• Bromocriptine mesylate (Parlodel)
You may be asked about these by a family member
Now-support bras, breast bindings, axillary ice packs
![Page 10: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/10.jpg)
Flatus• Antiflatulants• Ambulation• Increase water intake• High-fiber foods
![Page 11: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/11.jpg)
Colace Peri-Colace Dulcolax MOM Mineral Oil Nursing Process Laxatives-pg. 864
![Page 12: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/12.jpg)
Rho D Immune Globulin Explain erythroblastosis fetalis Direct vs. Indirect Coomb’s test
![Page 13: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/13.jpg)
Given prenatally in approx. 1-2% of Rh- women.
Assessed at initial prenatal visit and again at 28-29 weeks.
Can be given IM within 72 hours after delivery
Routinely given after maternal/fetal blood mixing.
Human D immunoglobulin Religious Beliefs**
![Page 14: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/14.jpg)
AKA German Measles High rate of abortion, neurological
defects Congenital rubella syndrome First Trimester-risk After First Trimester-less risk Vaccine is contraindicated during
pregnancy
![Page 15: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/15.jpg)
Burning at injection site acidic pH of vaccine.
Urticaria-allergic reaction Malaise Fever Headache Arthralgia Moderate fever
![Page 16: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/16.jpg)
Hypotension Chills Dizziness Headache Pruritis Injection site reaction Have epinephrine available to treat
anaphylaxis
![Page 17: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/17.jpg)
![Page 18: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/18.jpg)
Erythromycin Ophthalmic Ointment Vitamin K Anti-infective agents (cord stump)
• Literature supports drug cord care
![Page 19: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/19.jpg)
EES-chemical conjunctivitis Vitamin K-prevents bleeding
• Pain and edema at injection site• Allergic reaction• Hyperbilirubinemia and jaundice
Bilirubin and Vitamin K = protein binding sites
![Page 20: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/20.jpg)
HBV Require maternal consent (signed) Number based on mothers HBsAg
status IM-vastus lateralis (preferred site) or
rectus femoris Negative-only one injection Positive-two
• HBV vaccine AND HBIG (hepatitis B immune globulin)
![Page 21: Postpartum and Newborn Drugs](https://reader035.vdocuments.us/reader035/viewer/2022070417/56815570550346895dc33e34/html5/thumbnails/21.jpg)
Page 872