NUR 212 Lecture Notes - Lecture 7: Nalbuphine, Cardiotocography, Hypoventilation
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Similar to morphine but with a shorter half life meaning it will leave. Nalbuphine-narcotic decreases pain associated with contractions, it will not. It is given during active phase when birth isn"t imminent, it is administered early so it can leave the system before birth. Systemic-cut the pain down so that it is bearable for the mother eliminate the pain but make it more manageable. the system faster. The main side affect that should be seen is drowsiness with the mother. The baby will also demonstrate that in the fhr monitoring, going from moderate to minimal variability. still in its system* Blocks sensation to lower extremities with some motor block (fundus- Interventions: baseline fhr, baseline vitals, administer 1 iter of fluid iv. Causes peripheral vasodillation which causes maternal hypotension which. *for the infant respiratory depression may occur if the nalbuphine is. After epidural insertion: priority: fetal monitoring for fetal hypoxia/ poor. Variability: moderate/6-25 beats above and below the baseline.