OB Meds(Correct answers)
RhoGAM correct answersRho (D) immune globulin
RhoGAM - Indications correct answersIf mother is Rh-:
- At 28 weeks prophylactically
- Within 72 hours of birth
- Amniocentesis or CVS
- Abdominal trauma
- Version
- Pregnancy termination
RhoGAM - MOA correct answersLyses fetal (Rh+) RBCs in the maternal bloodstream,
preventing maternal antibodies from forming. This prevents the mother's body from attacking or
aborting future Rh+ pregnancies.
RhoGAM - Considerations correct answersMust determine that the mother is Rh- and has not
been previously sensitized. Once determined that she is Rh-, a direct Coombs' test will be
administered. A negative means that she does not have Rh antibodies, so she should be given
RhoGAM. A positive means that she already has Rh+ antibodies.
Has to be administered as a blood product. Verify with two nurses or according to facility policy,
monitor for 20 min after to ensure no reactions
RhoGAM - SE correct answersLocalized tenderness and stiffness at site; myalgia and lethargy;
mild fever
RhoGAM - Dose correct answersStandard - 300 mcg IM
Microdose - 50 mcg
- After a first trimester miscarriage or abortion, ectopic pregnancy, CVS
Duramorph correct answersLong acting morphine sulfate
Duramorph - Indications correct answersOften used for pain relief after C/S; analgesic effects
can last for up to 24 hours
Duramorph - SE correct answersN/V
Constipation
Respiratory depression
Hypotension
Can cause resp depression in newborn
Duramorph - Dose correct answers2-10 mg/70 kg
Stadol correct answersButorphanol tartrate
, Stadol - Indications correct answersOften used for labor pain
Stadol - Considerations correct answersIf a patient is also taking a full opioid antagonist
(methadone/buprenorphine) or agonist (morphine, dilaudid) it may compete at the receptor site
and cause the patient to go into withdrawal
Stadol - Administration correct answersGiven intranasally (spray)
One spray = 1 mg; normally 1 mg/3-4 hours; may do an additional dose as needed
Carboprost tromethamine correct answersHemabate
Carboprost tromethamine - Indications correct answersPostpartum hemorrhage
Inducing abortion in 2nd trimester
Carboprost tromethamine - MOA correct answersSynthetic prostaglandin that makes the uterus
contract, stopping bleeding
Carboprost tromethamine - SE correct answersHTN, fever, bronchoconstriction, N/V/D, uterine
rupture, uterine hypertonus
Carboprost tromethamine - Considerations correct answersOften given with
antiemetics/antidiarrheals
If patient has a fever, it's essential to determine if cause is medication or infection
Monitor for uterine rupture/hypertonus
Methergine correct answersMethylergonovine
Methergine - Indications correct answers2nd line (after oxytocin) for treating postpartum
hemorrhage
Uterine atony
Methergine - MOA correct answersVasoconstriction and smooth muscle contraction
Methergine - SE correct answersN/V
Severe hypertension
Tachycardia
Methergine - Considerations correct answersAssess for numbness and tingling of fingers and
face
RhoGAM correct answersRho (D) immune globulin
RhoGAM - Indications correct answersIf mother is Rh-:
- At 28 weeks prophylactically
- Within 72 hours of birth
- Amniocentesis or CVS
- Abdominal trauma
- Version
- Pregnancy termination
RhoGAM - MOA correct answersLyses fetal (Rh+) RBCs in the maternal bloodstream,
preventing maternal antibodies from forming. This prevents the mother's body from attacking or
aborting future Rh+ pregnancies.
RhoGAM - Considerations correct answersMust determine that the mother is Rh- and has not
been previously sensitized. Once determined that she is Rh-, a direct Coombs' test will be
administered. A negative means that she does not have Rh antibodies, so she should be given
RhoGAM. A positive means that she already has Rh+ antibodies.
Has to be administered as a blood product. Verify with two nurses or according to facility policy,
monitor for 20 min after to ensure no reactions
RhoGAM - SE correct answersLocalized tenderness and stiffness at site; myalgia and lethargy;
mild fever
RhoGAM - Dose correct answersStandard - 300 mcg IM
Microdose - 50 mcg
- After a first trimester miscarriage or abortion, ectopic pregnancy, CVS
Duramorph correct answersLong acting morphine sulfate
Duramorph - Indications correct answersOften used for pain relief after C/S; analgesic effects
can last for up to 24 hours
Duramorph - SE correct answersN/V
Constipation
Respiratory depression
Hypotension
Can cause resp depression in newborn
Duramorph - Dose correct answers2-10 mg/70 kg
Stadol correct answersButorphanol tartrate
, Stadol - Indications correct answersOften used for labor pain
Stadol - Considerations correct answersIf a patient is also taking a full opioid antagonist
(methadone/buprenorphine) or agonist (morphine, dilaudid) it may compete at the receptor site
and cause the patient to go into withdrawal
Stadol - Administration correct answersGiven intranasally (spray)
One spray = 1 mg; normally 1 mg/3-4 hours; may do an additional dose as needed
Carboprost tromethamine correct answersHemabate
Carboprost tromethamine - Indications correct answersPostpartum hemorrhage
Inducing abortion in 2nd trimester
Carboprost tromethamine - MOA correct answersSynthetic prostaglandin that makes the uterus
contract, stopping bleeding
Carboprost tromethamine - SE correct answersHTN, fever, bronchoconstriction, N/V/D, uterine
rupture, uterine hypertonus
Carboprost tromethamine - Considerations correct answersOften given with
antiemetics/antidiarrheals
If patient has a fever, it's essential to determine if cause is medication or infection
Monitor for uterine rupture/hypertonus
Methergine correct answersMethylergonovine
Methergine - Indications correct answers2nd line (after oxytocin) for treating postpartum
hemorrhage
Uterine atony
Methergine - MOA correct answersVasoconstriction and smooth muscle contraction
Methergine - SE correct answersN/V
Severe hypertension
Tachycardia
Methergine - Considerations correct answersAssess for numbness and tingling of fingers and
face
