Maternal Pharmacology Notes Summary: OB Medication Guide & NCLEX Review

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Summary Maternal Pharmacology Notes (Pediatric

Medications)

Drug classification for Cervidil .....ANSWER.....Therapeutic:

Cervical ripening agent

Pharmacologic: oxytocics, prostaglandins

Drug action for Cervidil .....ANSWER.....Produces contractions

similar to those occurring during labor. Initiates softening efface

meant, and dilation of the cervix.

Side effects for Cervidil .....ANSWER.....Headache, hypotension,

diarrhea, nausea, vomiting, Uterine rupture, anaphylaxis, & chills

Nursing Implications for Cervidil .....ANSWER.....Auscultate breath

sounds. Wheezing and sensation of chest tightness may indicate

hypersensitivity reaction.

Routes of administration for Cervidil .....ANSWER.....Endocervical

gel, vaginal insert, suppository

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Pertinent lab values for Cervidil .....ANSWER.....none

Cervidil (Brand name) .....ANSWER.....dinoprostone (generic

name)

Drug classification for Procardia .....ANSWER.....Therapeutic:

antianginals, antihypertensives

Pharmacologic: calcium channel blockers

Drug action for Procardia .....ANSWER.....Inhibits calcium

transport into myocardial and vascular smooth muscle cells,

resulting in inhibition of excitation-contraction coupling and

subsequent contraction.

Side effects for Procardia .....ANSWER.....headache,

ARRHYTHMIAS, CHF, peripheral edema, flushing, STEVENS-

JOHNSON SYNDROME

Nursing Implications for Procardia .....ANSWER.....Monitor ECG

periodically during prolonged therapy. Monitor bp and pulse

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before therapy, during dose titration, and periodically during

therapy.

Routes of administration for Procardia .....ANSWER.....PO

Pertinent lab values for Procardia .....ANSWER.....Monitor serum

potassium periodically, monitor renal and hepatic functions

periodically during long-term therapy.

Drug classification for Vitamin K .....ANSWER.....Therapeutic:

antidotes, vitamins

Pharmacologic: fat-soluble vitamins

Drug action for Vitamin K .....ANSWER.....Required for hepatic

synthesis of blood coagulation factors II, VII, IX, and X.

Side effects for Vitamin K .....ANSWER.....Gastric upset, hemolytic

anemia, pain at injection site, allergic reactions