Generic Brand Dosage Mechanism Indicatio Contra- Adverse Reaction Nursing

Name Name of Action n Indication Responsibilities

1. Nalbuph Nubain 10mg-70kl Nalbuphine For the Hypersensiti Monitor
ine 20 mg per antagonize relief of vity to CNS: respiratory rate
dose s mu moderate nalbuphine nervousness, crying, before and after
opiate to severe or its depression, giving nubain
receptors. pain. inactive restlessness, because it causes
(1) Other ingredients euphoria, hostility, respiratory
opioids confusion, faintness, depression
agonize floating, unusual
mu opiate dreams, numbness, Monitor I and O to
receptors. feeling of heaviness, determine if there
and psychotomimetic is excessive fluid
effects such as loss
hallucinations, feeling
of unreality and Monitor Bp before
and after
dysphoria. administering the
Cardiovascular: medication to
hypertension, prevent any
hypotension, complication
bradycardia,

tachycardia.
Gastrointestinal:
cramps,

dyspepsia, bitter

taste.
Respirati

on: depression,
dyspnea, asthma.

Dermatologica
l: itching, burning,

urticaria.
Miscellaneous:
speech difficulty,
urinary urgency,
blurred vision,
flushing and warmth.

–
 Mether Methergine
gine is available
in sterile
ampuls of 1
mL, Monitor Bp before
containing and after
0.2 mg administering
methylergo methergine
Methylergo
novine
novine
maleate for
Maleate
intramuscul
ar or
intravenous
injection
and in Methylergono
tablets for vine acts
oral directly on the
ingestion smooth
muscle of the
containing
uterus and
0.2 mg increases the
Serious
methylergo tone, rate, Reactions
novine and amplitude • seizures
maleate. of rhythmic
contractions • HTN
through • MI
Parenteral binding and
 the resultant
drug products • arterial
antagonism of
should be the dopamine spasm
inspected D1 receptor. • arrhythmias
visually for Thus, it
induces a • thrombophl
particulate
rapid and ebitis
matter and
sustained
discoloration • anaphylaxis
tetanic
prior to uterotonic
administratio effect which Common
n. shortens the Reactions
third stage of
For
Intramuscul routine • HTN
labor and
arly reduces blood manage • seizures
loss. ment
1 mL, 0.2 • headache
after
mg, after • hypotension
delivery
delivery of
of the • nausea
the anterior .
placenta;
shoulder, • vomiting
postpart
after delivery um
of the atony
placenta, or and Patient with
during the hemorrh hypertensio
puerperium. age; n
May be subinvol
repeated as ution.
required, at Under
Any
intervals of 2- full
cardiovascul
4 hours. obstetric
ar diseases
supervisi
Intravenousl
on, it
y
 may be
Dosage same
given in
as
the
intramuscular
second
.
stage of
Orally labor
One tablet, following
0.2 mg, 3 or 4 delivery
times daily in of the
the anterior
shoulder.
puerperium
for a
maximum of
1 week.
Bonifacio, Liezl G
Block 001 4th year
St. Jude College
Mrs. Paderanga

Re-Thinking Delivery Room Design Eases Labor

By Rose Hoban
Washington, D.C.
13 July 2009
Doctors and midwives agree it's better for a woman to move around while she's in labor. Walking
and changing position makes her more comfortable and helps the labor progress. But in many
countries, women giving birth in hospitals are often instructed to lie in bed while their labor
progresses.

University of Toronto nursing professor Ellen Hodnett observed that in many modern - and even
some not-so-modern hospitals - a bed was at the center of the labor room.

"That bed is a problem," Hodnett says. "Because it's a central focus of the room, and it sends
messages that that's where you're supposed to be in labor. And yet, we have pretty good evidence
The bed is the central focus of
that spending long periods of time in bed, particularly confined in the way that a hospital labor bed
most labor and delivery rooms
confines you, is not conducive to normal, healthy labor progress."

Hodnett has spent years investigating how environment affects the health outcomes for her patients. She began to believe that beds in
labor rooms were more for the convenience of the medical and nursing staff than the health of the mothers.

Hodnett compared these women's experiences to those of women who gave birth at home.

"They used a dining room table to lean over. They used the bathtub. They walked around the garden. They were moving, or on all
fours, or side-lying on a mat on the floor… a variety of things…" she says.

"And that struck me, even then, that there were more opportunities, more ways for a woman to help herself to be more comfortable
and perhaps her labor to be more effective if she were not confined to a bed."

Hodnett convinced several hospitals to change the configuration of their labor rooms. Instead of a high bed in the middle of the room,
she put a mattress on the floor, in the corner, with lots of pillows. She also dimmed the lights and had a selection of soothing music
and videos of nature scenes for the women to listen to and watch as they went through labor.

The result: The women had an easier time, requiring fewer medical interventions. Most significantly, fewer women needed the use of
the artificial hormone oxytocin for their labor to progress. And the women who did require oxytocin required less of the drug.
"[This] suggests that the labor for the women in this ambient or modified room was actually more effective than labor in the
traditional hospital room," Hodnett concludes.

"But more importantly, if you look at the results in terms of length of time in labor, the women in the ambient room … their labors
were about an hour and a quarter shorter than those in the standard rooms."

Hodnett says one of the biggest obstacles to trying these different methods has been getting health care providers to go along. She says
several hospitals would not even consider altering the configuration of labor rooms so she could study the effects.

She hopes that results such as these will make doctors and nurses more willing to try new ways of configuring the places where
women give birth.
Reaction:
It is better to have safe, quiet and clean delivery room, because it helps the
mother to focus in pushing, to prevent any distraction so that the delivering of
the fetus will not be long and stressfull.