Review the case study and respond to the statement below.
Case Study: A client had an SVD (spontaneous vaginal delivery) today. The labor and delivery nurse gives you a shift report and notes the client is RH Negative and her infant is RH Positive.
Discuss the drug RhoGAM (immune globulin), including:
KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT
The drug RhoGAM (immune globulin) is used to prevent bleeding in people who are experiencing surgery or childbirth. It’s also used to help prevent strokes, heart attacks and other health problems. You may be having surgery or a child can’t stop bleeding after birth. In these cases, you may choose to give yourself this medication as soon as possible after the surgery or delivery. If you need help with this decision make sure your doctor knows your current medical history and that you understand the risks involved with taking this drug while pregnant or breastfeeding
RhoGAM (immune globulin) is a blood-thinning medication that’s used to prevent blood clots. RhoGAM is given by injection into a vein or muscle, and it’s sometimes prescribed to treat some types of anemia and other medical conditions. The Food and Drug Administration (FDA) has approved RhoGAM for the following uses:
RhoGAM can be given intravenously, intramuscularly or subcutaneously. It is also available in a topical form for the treatment of cold sores (herpes labialis).
If you’re giving RhoGAM IV to a patient who’s allergic to pork, you should use an alternative donor.
When a patient with RhoGAM has an allergic reaction, the nurse should:
When a patient is receiving RhoGAM for treatment of immune globulin-associated vasculitis, the nurse should be aware of potential complications that can occur during therapy:
RhoGAM is indicated for use in a variety of situations and populations, including:
RhoGAM is contraindicated in pregnancy.
RhoGAM is contraindicated in women who are nursing and should not be administered to women of childbearing potential unless there is a medical indication for its use.
It is recommended that nursing mothers discontinue this drug if they are breastfeeding their infants and bottle-feeding them after prolonged administration of the drug. In addition, children exposed to blood from an immunoglobulin product should receive appropriate prophylactic therapy with antibiotics until cultures have been determined to be negative.
To prevent or treat rhesus disease, use RhoGAM.
RhoGAM is used to treat aplastic anemia and hemolytic disease of the newborn.
The indications to use this drug include:
The contraindications to use RhoGAM include:
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