parent child exam 3
Chapter # 20 Pharmacologic Management Of Pain
Describe use, administration, dose, onset action, adverse effect, contraindication systemic drugs promote pain relief during labor determining nursing c
...
parent child exam 3
Chapter # 20 Pharmacologic Management Of Pain
Describe use, administration, dose, onset action, adverse effect, contraindication systemic drugs promote pain relief during labor determining nursing care management woman labor & her fetus
Systemic analgesia
Goal provide maximum pain relief with minimal risk
Alteration in maternal state affects fetus
Determine: women shouldnt have to be in pain in labor
Goal:Best effect mom without affecting baby to much
Note: all things mom gets affects baby Administration of systemic analgesia
When woman is uncomfortable
Well-established labor pattern
Contractions occurring regularly
Significant duration of contractions
Moderate to strong intensity
Pain medication before established labor is more likely to prolong labor.
Maternal assessments
The woman is willing to receive medication
Vital signs are stable
Contraindications are not present
Info on other medications being administered
Maternal stress & pain more adverse then small amount of analgesia.
Explain Pharmacologic effects of medications.
Obtain consent for medications. Fetal assessments
Fetal heart rate between 110 & 160 bpm
Reactive nonstress test
Short-term variability is present
Long-term variability is average
Good HR
Assessment of labor progress
Contraction pattern
Cervical dilatation
Fetal presenting part
Station of the fetal presenting part Nursing considerations
Record drug name, dose, route, site on EFM strip & chart
Record woman blood pressure & pulse (before and after) on EFM strip & chart
Safety precautions
raising of side rails
assessment of FHR
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