ATI MATERNITY AND NEWBORN
MEDICATIONS 2023-2024
Tocolytics - ANS-Produces uterine relaxation and suppress uterine activity in an attempt
to halt
... [Show More] uterine contractions and prevent preterm birth
Magnesium Sulfate indications - ANS--preterm labor
-severe gestational hypertension
Magnesium Sulfate - ANS-CNS depressant, relaxes smooth muscle, use to halt preterm
labor contactions; used for preeclampsia to prevent seizures.
-commonly used tocolytic
■■ Nursing Considerations
☐Monitor the client closely
-Tocolytic therapy should be discontinued immediately if the client exhibits
manifestations of pulmonary edema, which include chest pain, shortness of breath,
respiratory distress, audible wheezing and crackles, and a productive cough containing
blood-tinged sputum.
☐☐ Monitor for adverse effects.
☐☐ Monitor for magnesium sulfate toxicity, and discontinue for any of the following
adverse effects: loss of deep-tendon reflexes, urinary output less than 30 mL/hr,
respiratory depression less than 12/min, pulmonary edema, and chest pain
contraindications for tocolysis - ANS--active vaginal bleeding
-dilation of the cervix greater than 6 cm
-chorioamnionitis
-greater than 34 weeks of gestation
-acute fetal distress.
MS - ANS-A/E:
Mom:depressed respirations, depressed DTR, hypotension, extreme muscle weakness,
flushing, decreased urine output, pulmonary edema, serum mag level >9mg/dl,
Newborn; hypotonia and sleepiness
Mag Sul - ANS-NI: Always use IV controller device for admin
-inform can initially fell hot, flushed and sedated with bolus
ANTIDOTE: calcium gluconate
-Monitor blood pressure, pulse, respiratory rate, deep-tendon reflexes, level of
consciousness,
urinary output (indwelling urinary catheter for accuracy), presence of headache, visual
disturbances, epigastric pain, uterine contractions, and FHR and activity.
■■ Place the client on fluid restriction of 100 to 125 mL/hr, and maintain a urinary output
of 30 mL/hr or greater.
-should not be administered with Nifedipine
mag sulfate toxicity signs: - ANS-☐☐ Absence of patellar deep-tendon reflexes... [Show Less]