Medication template.pdf- Betamethasone (Celestone) PDF

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Summary

Great ALTs on medications for maternal OB....

Description

ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

(Celestone) MEDICATION Betamethasone __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ CATEGORY CLASS glucocorticoid ______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action suppress inflammation and the normal immune response; management of adrenocortical insuffiency

Therapeutic Use enhance fetal lung maturity and surfactant production in fetus between 24-34 weeks gestation; short term administration before delivery to high risk mom to prevent

Complications adverse reactions and side effects are common with high doe therapy and long term use, SOB, crackles, chest pain

Contraindications/Precautions Lactation- avoid chronic use; administration of live virus vaccines! OB- safety not established yet Caution- neonates avoid use of benzyl alcohol containing injectable preparations; use preservative free preparations

Interactions insulin, oral hypoglycemic agents, loop diuretics, thiazide, NSAIDS,

Medication Administration deep IM- ventreal gluteal, vastus lateralis muscle! shouldnt be used if need rapid results

Nursing Interventions administer 12mg IM for two doses 24 hour apart; give 24 hr but not more than 7 days before delivery. monitor for maternal hyperglycemia, assess the preterm infant lung sounds, shake suspension well

Client Education Evaluation of Medication Effectiveness improvement of symptoms

ACTIVE LEARNING TEMPLATES

report pulmonary edema to your doctor - SOB, crackles, chest pain...