ACTIVE LEARNING TEMPLATE:
Medication
STUDENT NAME _____________________________________
Tocolytics
MEDICATION __________________________________________________________________________
REVIEW MODULE CHAPTER ___________
Early Onset of Labor: Laboratory Values During Toco
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action
Stimulate beta adrenergic receptors in the
uterus resulting in uterine relaxation
Therapeutic Use
Decreased intensity and frequency of
premature uterine contractions
Complications
Headache anxiety nervousness, pulmonary edema, and
angna, hypertension, tachycardia
Medication Administration
Iv- 50-100 micrograms per
minute
Contraindications/Precautions
Hypersensitivity, CV-ddisease Uncontrolled hypertension,
uncontrolled hyperthyroidism, hypovolemia, pulmonary
hypertension, intrauterine fetal death, pregnancy less than
20 weeks
Interactions
Nursing Interventions
Assess uterine activityAssassin
gestational age and feed them a
charityMonitor BP and pulse fetal
heart rateMonitor intake and
output
Corticosteroids may increase the risk of hyperglycemia or
fluid retentionAdditive adrenergic effects may occurn beta
blockers Mayegate the beneficial effects
Client Education
Evaluation of Medication Effectiveness
**LAB. values: Fetal fibronectin (can be related to
inflammation of the placenta that can lead to preterm birth),
cervical cultures(presence of infectious organisms), CBC,
and urinalysis are assessed during preterm labor.
Magnesium sulfate lab values 4-8mg/dL
Instruct patient to notify
healthcare provider immediately
if contractions Begin Again or if
water breaks