Research and create pharmacology concept maps of commonly used Maternal Child medications. Increasing
your knowledge of these medications will help you as you progress through the course. Use this template
Prenatal Vitamins
Oxytocin
Nalbuphine
Rh Immune Globulin
Vitamin K injection
Erythromycin eye ointment
Sample Solution
Pharmacology Concept Maps for Maternal Child Medications:
Template:
Drug: (Name of the medication)
Indication: (Reason for use in maternal and child health)
Mechanism of Action: (How the drug works in the body)
Route of Administration: (How the drug is given)
Side Effects: (Potential unwanted effects)
Contraindications: (Conditions where the drug should not be used)
Nursing Considerations: (Important points for nurses to know when administering the drug)
Additional Notes: (Any other relevant information)
Full Answer Section
Concept Maps:
- Prenatal Vitamins:
Drug: Prenatal Vitamins (Multivitamin containing folic acid, iron, calcium, and other essential nutrients)
Indication: Prevent birth defects, promote fetal development, reduce maternal nutrient deficiencies
Mechanism of Action: Provides essential nutrients for mother and fetus, promoting cellular growth and function
Route of Administration: Oral
Side Effects: Nausea, constipation, heartburn, urine discoloration
Contraindications: Severe allergy to any component of the vitamin
Nursing Considerations: Assess for allergies, encourage compliance, monitor for side effects
Additional Notes: Dosage varies based on individual needs and trimester.
- Oxytocin:
Drug: Oxytocin (Hormone that stimulates uterine contractions and milk letdown)
Indication: Induce or augment labor, control postpartum bleeding, promote milk letdown
Mechanism of Action: Binds to oxytocin receptors in uterine and mammary tissue, stimulating contractions and milk ejection
Route of Administration: Intravenous, intramuscular, intranasal
Side Effects: Uterine overstimulation, fetal distress, nausea, vomiting, headache, chills
Contraindications: Premature uterine rupture, cephalopelvic disproportion, severe preeclampsia
Nursing Considerations: Monitor fetal heart rate and maternal vital signs, assess uterine tone and contractions, encourage frequent breastfeeding
Additional Notes: Use with caution in women with history of cardiovascular disease or hypertension.
- Nalbuphine:
Drug: Nalbuphine (Opioid pain medication with weaker respiratory depression effects than morphine)
Indication: Manage moderate to severe pain in labor and delivery
Mechanism of Action: Binds to opioid receptors in the central nervous system, inhibiting pain signals
Route of Administration: Intravenous, intramuscular
Side Effects: Drowsiness, nausea, vomiting, dizziness, headache, itching
Contraindications: Known opioid allergy, respiratory depression, severe hepatic or renal impairment
Nursing Considerations: Assess pain level and vital signs, monitor respiratory rate, encourage non-pharmacological pain management methods
Additional Notes: Has less potential for neonatal respiratory depression compared to other opioids.
- Rh Immune Globulin:
Drug: Rh Immune Globulin (Antibody preparation)
Indication: Prevent Rh sensitization in Rh-negative pregnant women who are carrying an Rh-positive fetus
Mechanism of Action: Binds to Rh-positive fetal red blood cells preventing maternal immune system sensitization
Route of Administration: Intramuscular
Side Effects: Local injection site pain, redness, swelling, headache, chills
Contraindications: Known allergy to immunoglobulin or human blood products
Nursing Considerations: Administer postpartum within 72 hours of delivery or after miscarriage or abortion, educate mother about Rh incompatibility
Additional Notes: Routine Rh prophylaxis has significantly reduced the incidence of Rh disease of the newborn.
- Vitamin K injection:
Drug: Vitamin K injection (Fat-soluble vitamin essential for blood clotting)
Indication: Prevent Vitamin K deficiency bleeding in newborns
Mechanism of Action: Activates clotting factors essential for stopping bleeding
Route of Administration: Intramuscular
Side Effects: Local injection site pain, transient redness, swelling
Contraindications: None known
Nursing Considerations: Administer immediately after birth, inform parents about the importance of Vitamin K supplementation
Additional Notes: Routine Vitamin K administration at birth prevents neonatal Vitamin K deficiency bleeding.
- Erythromycin eye ointment:
Drug: Erythromycin eye ointment (Antibiotic)
Indication: Prevent neonatal ophthalmia neonatorum (eye infection) caused by Chlamydia trachomatis or Neisseria gonorrhoeae
Mechanism of Action: Inhibits bacterial growth within the eye
Route of Administration: Topical, applied to infant's eyes immediately after birth
Side Effects: Local irritation, redness, tearing
Contraindications: Known allergy to macrolide antibiotics
Nursing Considerations: Wear gloves during application, avoid touching the tip of the tube, inform parents about potential side effects