The drug RhoGAM

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:

Route
Nursing Implications
Indications for Use
Contraindications for Use

Full Answer Section

  Indications for Use RhoGAM is used to prevent RhD sensitization in Rh-negative women who have been exposed to Rh-positive blood. This can happen during pregnancy, childbirth, or an invasive procedure such as amniocentesis or chorionic villus sampling. Contraindications for Use RhoGAM is contraindicated in people who have a history of anaphylactic reaction to Rh immune globulin or any of its components. Other Considerations RhoGAM is not a cure for RhD sensitization. However, it can help to prevent the development of RhD antibodies. If a woman who has received RhoGAM becomes pregnant with another Rh-positive baby, she will still need to receive RhoGAM after the birth of the baby. Dosage The dosage of RhoGAM depends on the woman's blood type and the type of exposure to Rh-positive blood. For example, a woman who has an Rh-negative blood type and who has an Rh-positive baby will receive a single dose of 300 mcg of RhoGAM. Side Effects The most common side effects of RhoGAM are pain, redness, and swelling at the injection site. Other side effects include fever, chills, muscle aches, and nausea. Storage RhoGAM should be stored in the refrigerator. It should not be frozen. Conclusion RhoGAM is an important medication that can help to prevent RhD sensitization in Rh-negative women. It is important to follow the manufacturer's instructions carefully when administering RhoGAM.

Sample Answer

  Route RhoGAM is administered intramuscularly. It is typically given in the deltoid muscle, but it can also be given in the anterolateral thigh. Nursing Implications When administering RhoGAM, it is important to follow the manufacturer's instructions carefully. The injection should be given slowly and deeply. The injection site should be monitored for signs of bleeding or bruising.