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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:
At least 130 words and address all questions. Thank you.
RhoGAM (immune globulin) is a medication used to prevent Rh (Rhesus) incompatibility between a mother and her fetus. It is given to prevent the mother’s immune system from developing antibodies against the Rh-positive blood cells of the fetus, which can lead to hemolytic disease of the newborn.
The route of administration for RhoGAM is intramuscular injection. The usual dosage is 300 mcg, given within 72 hours of delivery. It is also given after any procedure that may cause fetal-maternal hemorrhage, such as an amniocentesis, chorionic villus sampling, or external cephalic version.
From a nursing perspective, it is important to ensure that the client is aware of the indications and contraindications for RhoGAM before administering the medication. The client should also be informed about the potential side effects, which may include pain and swelling at the injection site, fever, and headaches.
The indications for RhoGAM use include: -Rh-negative mother carrying an Rh-positive fetus -Fetal-maternal hemorrhage caused by invasive procedures
The contraindications for RhoGAM include: -Known hypersensitivity to any component of the product -IgA deficiency with antibodies against IgA and a history of hypersensitivity.
It is important to note that RhoGAM does not affect future pregnancies and does not protect against other blood group incompatibilities.