Urdaneta City University

1 San Vicente West, Urdaneta City, Pangasinan 2428

(075) 568-2475 loc. 8110, Fax: (075) 600-1468
E-mail: ucuschoolofmidwifery@gmail.com

School of Midwifery
Established in 1973
LEVEL II ALCU-COA ACCREDITATION STATUS

MIDWIFERY PHARMACOLOGIC NOTES

DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY
ROUTE/ USES EFFECTS
(Generic Name/ FREQUENCY
Brand name, Local PRE- INTRA- POST-
Market Price) ADMINISTRATION ADMINISTRATION ADMINISTRATION
Generic Name: 1 mg/one dose/ Anticoagulant-induced Anaphylaxis, Severe Document the giving of the Apply pressure to the Observe for bleeding
Vitamin K IM @ L vastus lateralis prothrombin deficiency; dyspnea, cyanosis, anaphylactoid medication to newborn to injection site to prevent (usually occurs on second or
(Phytomenadione) prophylaxis & therapy of pain, swelling, reactions, prevent an accidental further bleeding third day). Bleeding may be
hemorrhagic disease of the phlebitis at the Inj Diaphoresis, doubling of the dose. seen as generalized
Brand Name: Aqua- newborn & it may also be site, diaphoresis, hypersensitivity Protect drug from light. ecchymoses or bleeding
Mephyton given to the mother before dizziness, reactions, Dyspnea, Give vitamin K before from umbilical cord,
delivery; hypotension (rare), abnormal tastes, circumcision procedure. circumcision site, nose or
hypoprothrombinemia due to allergic reactions Hyperbilirubinemia, May be taken with or gastrointestinal tract.
oral antibacterial therapy; after SC and IM inj. Scleroderma-like without food. Observe for jaundice and
hypoprothrombinemia lesions, Cyanosis, Temporary resistance to kernicterus, especially in
flushing, or prothrombin-depressing preterm infants.
hypotension anticoagulants may result Observe for signs of local
DRUG MECHANISM OF PREGNANCY RISK EFFECT ON EFFECT ON especially when larger inflammation
CLASSIFICATION ACTION CATEGORY PREGNANCY LACTATION doses are used.
Fat-soluble Vitamins Phytomenadione promotes vitamin K used medicinally Unknown Caution is
Antifibrinolytic hepatic synthesis of clotting in adults (as for blood recommended;
Agents factors. It is a naturally clotting disorders) is benefit to mother
occurring compound that is considered a class C drug by should outweigh
used to prevent and treat the FDA, meaning it is not risk to the infant.
haemorrhages related to certain if it is safe for
vitamin K deficiency. pregnant women and it is not
known if it is transferred
through breast milk.
Comment/ Remarks: ______________________________________________________________________________________________________________________________________

NAME of STUDENT: Marge Ysabelle T. De Guzman RATING:__________________ NAME of CI: Rogelio Villena
 Urdaneta City University
1 San Vicente West, Urdaneta City, Pangasinan 2428
(075) 568-2475 loc. 8110, Fax: (075) 600-1468
E-mail: ucuschoolofmidwifery@gmail.com

School of Midwifery
Established in 1973
LEVEL II ALCU-COA ACCREDITATION STATUS

MIDWIFERY PHARMACOLOGIC NOTES

DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY

(Generic Name/
Brand name, Local Market
Price)
Generic Name: Ferrous sulfate
Brand Name:
Apo- ferrous sulfate, FeroGrad,
Novuferosulta
Local Market Price:
DRUG CLASSIFICATION
Enzymatic mineral and Iron
preparation.
ROUTE/
FREQUENCY
Tablets – sulfate, 324,
325mg; syrup – fumarate
150mg; elixir – sulfate,
220mg/5mL, drops –
sulfate, 75mg/0,6mL,
125mg/mL; tablet,
chewable – fumarate,
100mg; suspension –
fumarate, 100mg/5mL
MECHANISM OF
ACTION
Ferrous Sulfate is an
essential component in the
formation of hemoglobin,
myoglobin and enzymes. It
is necessary for effective
erythropoiesis and
transport or utilization of
oxygen.
USES EFFECTS
PRE- INTRA- POST-
ADMINISTRATION ADMINISTRATION ADMINISTRATION
An essential mineral constipation; CNS: CNS toxicity, Give between meals with > verify patient’s identity >Assess patient for signs and
found in hemoglobin, acidosis, coma and water but may give with > administer the right drug in symptoms of anaphylaxis
myoglobin, and many upset stomach; death with overdose meals if gastrointestinal the right dose and route at the (rash, pruritus, laryngeal
enzymes. Enters the discomfort occurs. right time edema, wheezing). Notify
blood- stream and is black or dark- GI: GI upset, Transient staining of > do not crush, chew or cut physician immediately if
transported to the colored stools; or anorexia, nausea, mucous membranes and tablets and capsules these occur. Keep
organs of the reticulo- vomiting, teeth will occur with liquid > give drug with meals epinephrine and resuscitation
endothelial system temporary staining constipation, iron preparation. To avoid, (avoiding milk, eggs, coffee, equipment close by in the
(liver, spleen, bone of the teeth. diarrhea, dark stools, place liquid on the back of and tea) event of an anaphylactic
marrow), where it is temporary staining the tongue with dropper or > administer liquid reaction.
separated out and of teeth (liquid use straw. preparations in water or juice Assess bowel function for
becomes part of iron preparations) Assess nutritional status to mask the taste and prevent constipation or diarrhea.
stores. and dietary history to staining of teeth; have patient
Therapeutic Effects: determine possible cause of drink solution with a straw
Prevention/treatment anemia and need for patient > do not take this drug with
of iron deficiency. teaching. check the antacids nor tetracyclines
PREGNANCY EFFECT ON EFFECT ON doctor’s order unless prescribed
RISK CATEGORY PREGNANCY LACTATION assess for allergy to any
Category: A. This To increase blood Iron in breast milk ingredient, sulfite;
supplement should volume in is very bioavailable, hemochromatosis,
only be used during pregnancy. iron hemosiderosis, hemolytic
pregnancy if it is supplementation of anemias
clearly needed. the mother does not assess for skin lesions,
change this color; gums, teeth (color);
situation. bowel sounds
Iron content of monitor blood studies
breast milk is not confirm that client does
affected by the have iron deficiency
mother's nutritional anemia.
status.

NAME of STUDENT: Marge Ysabelle T. De Guzman RATING:__________________ NAME of CI: Rogelio Villena
 Urdaneta City University
1 San Vicente West, Urdaneta City, Pangasinan 2428
(075) 568-2475 loc. 8110, Fax: (075) 600-1468
E-mail: ucuschoolofmidwifery@gmail.com

School of Midwifery
Established in 1973
LEVEL II ALCU-COA ACCREDITATION STATUS

NAME of STUDENT: Marge Ysabelle T. De Guzman RATING:__________________ NAME of CI: Rogelio Villena