Terbutaline Med card SIM PDF

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Summary

Pre assignment for Simulation Experience in OB...

Description

Generic name: Terbutaline

Drug class: B2 adrenergic receptor agoinist

Therapeutic action – how does it work?  Activates beta 2 adrenergic receptors and this relaxes the uterine smooth muscle

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Purposes – why is drug given? Can be used up to 24 hours to delay but not to prevent preterm labor Treats wheezing, SOB, and chest tightness caused by asthma, chronic bronchitis

 Contraindications/precautions – when would you NOT use? 

Preg risk category C, contraindicated in clients who have tachydysrhythmia. Use cautiously in pts who have diabetes, hyperthyroidism, heart disease, and angina

Administration – how is it given? Route, dosage, special instructions: 

Subcutaneously

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IV

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Dose usually 0.25 mg

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If there isn’t a significant decrease in contractions within 15-30 min., a 2nd dose of 0.25 may be given

Side effects – undesired effects?  tremor,  nervousness  dizziness  headache  drowsiness  palpitations  rapid heart rate  shortness of breath

Complications – dangers of drug?  Tachycardia, angina, tremors, MI, skin flushing, restlessness, pulmonary edema for mom  Increase in heart rate, increased blood sugar levels for baby

Drug interactions – effects on other meds, other meds effects?  Beta adrenergic blockers can negate effects of this med  MAOIs and TCAs can increase the risk of tachycardia and angina

Nursing interventions – assessments, other actions?  Ensure pt knows dosage schedule  Monitor heart  Don’t give orally to treat preterm labor

Monitoring effectiveness – is it working?

Patient education – special advice?  Advise pt not to exceed prescribed dose  Prolonged use of the med increases the risk for life threatening heart problems in the mother

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Reduced number and frequency of contractions

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Delayed delivery for several hours...