Postpartum and Newborn Drugs

1. Dena Evans, EdD(c), MPH, BSN, RN, CNE
Assistant Professor
Department of Nursing
The University of North Carolina at Pembroke

2. See Routine Orders pg. 857

3. Prevent uterine atony
Relive pain
Enhance or suppress lactation
Promote bowel function
Enhance immunity

4. NSAIDS
• May prolong bleeding time
• Take with food or water ↓ GI upset
Narcotics

5. Systemic analgesics
• Decreased alertness
Opioids
• Bowel function
• Respirations

7. Redness
Ecchymosis
Edema
Discharge
Approximation

8. Witch hazel
Nupercainal onitment
Nonpharmacological
• Sitz baths

9. Medications not used/less popular due to
side effects
• Chlorotrianisene (Tace)
• Deladumone OB
• Bromocriptine mesylate (Parlodel)
 You may be asked about these by a family member
 Now-support bras, breast bindings, axillary ice packs

10. Flatus
• Antiflatulants
• Ambulation
• Increase water intake
• High-fiber foods

11. Colace
Peri-Colace
Dulcolax
MOM
Mineral Oil
Nursing Process Laxatives-pg. 864

12. Rho D Immune Globulin
Explain erythroblastosis fetalis
Direct vs. Indirect Coomb’s test

13. Given prenatally in approx. 1-2% of Rh-
women.
Assessed at initial prenatal visit and again
at 28-29 weeks.
Can be given IM within 72 hours after
delivery
Routinely given after maternal/fetal blood
mixing.
Human D immunoglobulin
Religious Beliefs**

14. AKA German Measles
High rate of abortion, neurological defects
Congenital rubella syndrome
First Trimester-risk
After First Trimester-less risk
Vaccine is contraindicated during
pregnancy

15. Burning at injection site acidic pH of
vaccine.
Urticaria-allergic reaction
Malaise
Fever
Headache
Arthralgia
Moderate fever

16. Hypotension
Chills
Dizziness
Headache
Pruritis
Injection site reaction
Have epinephrine available to treat
anaphylaxis

18. Erythromycin Ophthalmic Ointment
Vitamin K
Anti-infective agents (cord stump)
• Literature supports drug cord care

19. EES-chemical conjunctivitis
Vitamin K-prevents bleeding
• Pain and edema at injection site
• Allergic reaction
• Hyperbilirubinemia and jaundice
 Bilirubin and Vitamin K = protein binding sites

20. HBV
Require maternal consent (signed)
Number based on mothers HBsAg status
IM-vastus lateralis (preferred site) or rectus
femoris
Negative-only one injection
Positive-two
• HBV vaccine AND HBIG (hepatitis B immune
globulin)

21. Page 872