Medications

Medications & ordered Dose/Route	Clssification	       Action	Indicatons for use	Possible Side effects	Nursing Responsibilities

Morphine Sulfate 

2-4mg/IVP	Opioid analgesics, opiod agonists	Produces generalized CNS depression, binds to opiate receptors in the CNS and alters the perception of and responses to painful stimuli.	Prevent and Control Pain during delivery.	Respiratory depression, confusion, sedation, hypotension,
Constipation, urinary retention. 	 Assess for pain. Assess respiratory rate, have antedote (Narcan) available for administration for resp <10 per minute.. 	
Labetalol HCL
(Trandate,
Normodyne)

200mg bid
200mg = 1 Tablet

	Beta-blockers, antianginals, antihypertensives	Blocks the stimulation of beta 1 (myocardial) and beta 2 (pulmonary, vascular, and uterine) adrenergic receptor sites.	Control of Hypertension.	Fatigue, weakness,
arrhythmias,
bradycardia,chf,
pulmonary edema,orthostatic hypotension.	Double check order, and dosage with another licensced professional, administer slowly over two minutes, monitor pulse and blood pressure, assess for orthostatic hypotension when patient changes position, check frequency of refills to determine compliance, patient should be supine for 3 hours after administration if IV, Monitor vital signs q 15 minutes for several hours after administration. Monitor I&O ratios and daily weight. Assess for signs of fluid overload(peripheral edema, dyspnea, rales/crackles, fatigue, weight gain, JVD.) Monitor for signs of overdose:
bradycardia, dizziness or faintingg, severe drowsiness, dyspnea, bluish fingernails or palms, seizures.)
	
Lactated Ringers

125ml/hr
Per  1000 mL bag
IV

		
				
Nalbuphine HCL
(Nubain)

10mg/ml q4hours IM
prn
	Opioid agonists analgesics	Alters the perception and response to painful stimuli while producing generalized CNS depression, binds to appropriate receptors in the CNS.

	Control of moderate to severe pain. 	Dizziness, headache, sedation, dry mouth, nausea, vomiting. Respiratory depression, clammy feeling skin, sweating, dependence, orthostatic hypotension.	Rotate sites for injections, assess for pain before and periodically during administration, assess BP, pulse and respirations, if <10/ minute assess level of sedation. 	
Naloxone HCL
(Narcan)
0.4mg/1ml /amp Inj. prn	Antidote for opioids. Opioid antagonists. 	Comptetively blocks the effects of oopioids, including CNS and respiratory depression.

	Reversal of opioid excess.	Hypertension, hypotension, ventricular tachycardia or fibrillation, nausea, vomiting. 	Monitor respiration rate, rhythm, and depth, pulse, ECG, BP and level of consciousness for 3-4 hours after administration. Assess patient for signs of pain. 	
Bisacodyl 
(Dulcolax)

10 mg/ rectal suppository prn as needed
	Stimulant laxatives.	Stimulates peristalsis, alters fluid and electrolyte transport producing fluid accumulation in the colon.
	Relief of constipation.	Abdominal cramps, nausea, diarrhea, rectal burning.	Assess for abdominal distention, bowel sounds, and usual pattern of bowel function. Assess color, consistency and amount of stool produced.	
Magnesium Hydroxide Suspension 
(Milk of Manesia) 

10ml daily/ oral
		
	Relief or constipation			
Oxycodone-Acetaminophen
(Percocet)

5/325mg tablet prn q 3 hours.
1-2 tablets oral		
			For pain >3/10 on pain scale. Max of 4000mg/day
Document pre/post assessment.	
Zolpidem Tatrate
(Ambien)
5mg tab- oral
10mg=2 tab at 
bedtime prn

				
Ibuprofen 
(Motrin)
1 tablet = 600mg oral prn q6hours

		
	Relief of pain with cramping. 			
Simethicone
 (Mylicon)

80mg tablet 
Before meals and at bedtime prn.

			Relief of gas discomfort.			
Acetaminophen 
(Tylenol)  

650 mg = 2 tab
2 x 325 mg
Oral prn every 3 hours		

 	Relief of mild pain		Document pre/post pain rating 	
Promethazine HCL
(Phenagran)
12.5/0.5 ml
IVP prn q4hours		
	Relief of nausea			
Procardia

20mg tab = 2 10mg tab q8hours		

	Management of HTN. 			
Triamterene HCTZ
37.5/25 tab po daily		

	Management of hypertension.