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Drug

Mechanism of action

Indication

Contraindication

Side effects

Headache,
Stimulates the
Termination of Allergy to
prostaglandins; acute
paresthesia,
myometrium of the
pregnancy
PID; renal disease;
syncope,
pregnant uterus to
12-20 wks
Class:
prolonged uterine
hypotension,
contract; similar to the
from first
Prostaglandi
contractions
chest pain,
contractions of the
day of LMP
n
nausea,
uterus during labor, thus Initiation of
vomiting
evacuating the contents
cervical
of the uterus
ripening
before
induction of
uterus.
Nubain
Hypersensitivity to
Clamminess,
Acts as an agonist at
Relief of
nalbuphine, sulfites,
sweating,
specific opioid receptors
moderate to
Class:
lactation
headace,
in the CNS to produce
severe pain
Narcotic
restlessness,
analgesia, sedation but For obstetric
hallucinations
also acts to cause
analgesia
, euphoria,
hallucinations and is an
during labor
bradycardis,
antagonist at mu
and delivery
respiratory
receptors
depression,
dyspnea

Dinoproston
e

Nursing consideration
Monitor uterine tone
and vaginal discharge
throughout the
procedure and several
days after
Ensure adequate
hydration throughout
procedure

Keep opiod antagonist


and facilities or
controlled respiration
readily available in
case of respiratory
depression
Patient may develop
withdrawal symptoms
if dependent to
narcotics

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