LATEST UPDATE ALREADY GRADED A+
- use at least ? patient identifiers when providing care, treatment, and services
- Acceptable identifiers may be the individual's name, an assigned identification number (DOB),
telephone number, or other person-specific identifier
- Patient
- Drug
- Dose
- Time
- Route
- Right to documentation
- Right to refuse treatment
7 rights of medication administration
pregnant
? women should take a vitamin and mineral supplement daily
folic acid
- Essential before pregnancy and in the early weeks of pregnancy
- Inadequate intake of ? has been associated with NTD- neural tube defects (anencephaly & spinal bifida)
folic acid
- Given to increase maternal RBC formation during pregnancy
- 600 micrograms daily (0.6mg) for pregnant women
600 (0.6 mg)
? micrograms daily of folic acid for pregnant women
RhoGAM (Rh0 (D) immune globulin)
- Given only to Rh NEGATIVE mothers
- Suppresses immune response; to prevent the mother from making antibodies against Rh+ blood
RhoGAM
When is ? routinely administered?
- at 28 weeks gestation as routine antepartum prevention: Indirect Coombs maternal serum blood work
- Within 72 hours after Birth Direct Coombs is done on cord blood; only given if indicated
- Within 72 hours after Birth Direct Coombs is done on cord blood; only given if indicated
- at 28 weeks gestation as routine antepartum prevention: Indirect Coombs maternal serum blood
work
, when is RhoGAM routinely administered?
Indirect Coombs
Blood work is done at 28 weeks (?), just looking to see if mom is sensitized
Direct Coombs
After Birth, cord blood is taken; lab that is done is called ? - determine baby's blood type and again looks
for sensitization
Rhogam
NOTE: ? is not indicated if mom is already sensitized or if baby is Rh negative on Direct Coombs
RhoGAM
Dose/Injection
- 300 mcg IM deltoid or gluteal
- (can also be given I.V.)
Rh immune globulin (RhoGAM)
? is highly successful at preventing sensitization in a current pregnancy. When given at 28 weeks and
within 72 hours of delivery of an Rh-positive child, it has a success rate of greater than 99%.
Rh immune globulin (RhoGAM)
Although ? is not given to a woman who has become sensitized to the Rh factor, it is not harmful to a
sensitized woman.
RHOGAM
IN ORDER TO ADMIN ?-----These conditions must occur:
- MOM- rh negative, not previously sensitized to Rh factor; infant must be Rh positive, direct
antiglobulin negative
Tocolytic Agents
drugs used to inhibit myometrial contractions; attempts to STOP contractions
Tocolytic Agent
Brethine (Terbutaline Sulfate)
Tocolytic Agent
Magnesium Sulfate
Tocolytic Agent
Procardia (Nifedepine)
Tocolytics