A nurse has admitted a patient with hyperemesis gravidarum and is reviewing the physician's orders. Which order should the nurse question?
A.
Betamethasone (Celestone) 100 mg IV every 8 hours
B.
Dimenhydrinate (Dramamine) 75 mg rectally every 4-6 hours
C.
Metoclopramide (Reglan) 10 mg IV every 8 hours
D.
Promethazine (Phenergan) 25 mg IV every 4 hours
ANS: A
Dimenhydrinate, metoclopramide, promethazine, and pyridoxine are all used to treat nausea and vomiting of pregnancy. Betamethasone is used to decrease the chance of respiratory distress syndrome in premature infants. It is given in 2 doses, 12 hours apart, at a dose of 12 mg.
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