A nurse has administered dinoprostone gel (Prepidil) to a nulliparous woman whose Bishop score is 5. Fifteen minutes later the patient complains of intense itching, vaginal burning, and shortness of breath. What medication does the nurse anticipate giving
A.
Epinephrine (Adrenalin)
B.
Hydromorphone (Dilaudid)
C.
Misoprostol (Cytotec)
D.
Terbutaline (no brand name)
ANS: D
In case of adverse reactions to dinoprostone, the nurse will administer terbutaline, 0.25 mg intravenously or subcutaneously. The other medications are not indicated.
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