Nursing action for L&D meds - page 2

by nursingstudent_2012

8,512 Views | 16 Comments

hi everyone. i am making drug cards for my clinicals this sem which happnes to be in l&d and pediatrics units. i couldn't find info on my drugbook and on the net about the nursing actions on the following meds. can someone... Read More


  1. 0
    Quote from JenG2011
    Hi- I am an L&D nurse and also a A- mother. Besides the above mentioned considerations. Rhogam is a blood product, but after delivery we draw maternal blood to look for any maternal-fetal blood mixing. Make sure you know what rhogam is for. The dose is titrated for the specific mom. Also the women is given a card to indicate she has received it. She needs to be made aware so if she needs blood products in the near future the blood bank is made aware to explain the antibodies.
    Also I tell my moms to put the Tucks in the fridge it really helps with post partum healing and itching. I know this one first hand. Hope that helps. Jen

    Thank you very much. This is very helpful. I know RhoGam is administered to prevent poisoning the baby if there's an incompatibility present, right? That's what I based my nursing considerations.
  2. 0
    Quote from nursingstudent_2012
    I know RhoGam is administered to prevent poisoning the baby if there's an incompatibility present, right? That's what I based my nursing considerations.
    Based upon this statement, I don't think you understand what Rhogam is and what it does. Giving an injection to the mother post-delivery does not protect her newborn from anything. Please read up on this med so that you understand its function.

    What nursing considerations do you have for Rhogam?
  3. 0
    In response there is a difference between Ante-partum and post-partum rhogam. The shot helps protect the baby during the pregnancy from being "attacked by the mother" if they are incompatable and the mother is already sensitized. If it is her first pregnancy rhogam will protect the mother from creating the antibodies in the first place. Read about rhogam and it's history. Without it many mothers would only be able to have one child or some none. Post partum it is given to protect the mother again from the antibodies she might create from getting fetal blood into her system during delivery. Rhogam also used during any potential exchange like during an amnio. Jen
  4. 0
    Quote from nursingstudent_2012
    So for Tucks, I should still look for signs&symptoms of allergic reaction right?
    Look for allergic reaction with everything, even tucks.
    never seen anyone allergic to Tucks. but just the other day i saw a tv show where a girl was allergic to water, so anything is possible.
  5. 0
    Quote from Jolie
    Based upon this statement, I don't think you understand what Rhogam is and what it does. Giving an injection to the mother post-delivery does not protect her newborn from anything. Please read up on this med so that you understand its function.

    What nursing considerations do you have for Rhogam?
    I was refering to the postpartum stage.
    Here are the nursing considerations that I have so far:
    Before:
    1. Pt with immunoglobulin A deficiency may develop immunoglobulin A antibodies and have anaphylactic reaction; must weigh benefits of treatment against risk of hypersensitivity reactions before giving.
    2. Obtain and review hx of allergies and reactions to immunizations. Keep epinephrine 1:1,000 ready to treat anaphylaxis.
    3. Immediately after delivery, send a sample of neonate’s cord blood to laboratory for typing and cross-matching. Confirm if mother is Rho (D)-negative and Du –negative. Give drug to mother ONLY IF infant is Rho (D)- OR Du –positive. Administration must occur w/in 72 hours of delivery.
    4. Use with caution in pt with thrombocytopenia or coagulation disorders; hemorrhage/hematoma may occur from IM administration.
    After:
    1. Monitor for s/s of intravascular hemolysis (IVH), anemia, renal insufficiency, back pain, shaking, chills, discolored urine, or hematuria for 8 hours after administration.
    2. Assess pt for difficulty breathing, tachycardia, back rash, pain, redness, swelling or pain at injection site, decreased urine output, peripheral edema.
  6. 0
    Quote from nursingstudent_2012
    I was refering to the postpartum stage.
    I thought so, which is why I reiterate my statement that I don't think you understand the mechanism of action of this drug. Giving Rhogam to a mother post-delivery does not protect her newborn from anything.

    You also mention "poisoning" in a previous post, which further leads me to believe that you don't understand the pathophysiology of Rh incompatibility or its prevention.

    Good luck on your assignment.
  7. 0
    correction to my statment above. I was reading what I wrote and I made a typo. I meant to say Rhogam only works if the mother "is not already" sensitized. Once the antiboidies are created they cannot be removed. Rhogam will hopefully prevent that. You are working hard hope you do well!! Jen


Top