CTC ADN - Medications in Obstetrics for Nursing Students

Click on the linked titles to sort by that field
Category Sort   Hide	Generic Name Sort   UnHide	Trade Name Sort   Hide	Classification Sort   Hide	Reason Sort	Effects on Mom/Baby
Antepartum			Electrolyte replacement	Antidote for hypermagnesium
Usual dose: 1g IV over 3-5 mins
Antepartum		Betamethosone	Steriod	Lung maturity	Increase fetal lung maturity
12.5mg IM q 24 hrs x 2 doses. Given to mom when PTL (24 - 34 wks)
Antepartum		Prostin E2	Prostaglandin	Termination of pregnancy	n/v/d, fever
May be premedicated with Tylenol, antidiarrheal and antiemetic
Antepartum		Apresoline	Antihypertensive	BP control
Given IVP for acute hypertension.
Antepartum		Ativan	CNS Agent	Anticonvulsant Tx
Used during seizure. Must be kept refrigerated.
Antepartum			Anticonvulsant	Anticonvulsant Tx; Tx of PTL	During loading dose: Facial flushing, warmth. During tx: hypermagnesium (loss of reflexes, resp arrest, cardiac arrest)
First choice during seizure and anti-seizure; Also used for PTL. DTRs 1st sign of hypermagnesia; Therapeutic level 4-8 mg/dl. Given thru infusion pump
Antepartum		Aldomet	Antihypertensive	BP control
DOC for antihypertension maintenance
Antepartum		Procardia	Calcium-channel blocker	Tocolytis; BP Control	Hypotension, tachycardia, facial flushing, h/a
Off-label use for tocolysis. Co-administration with Ritodrine or Terbutaline OK. Do not give with MgSO4. Check BP prior to administering
Antepartum		Yutopar	Tocolytic	Tocolysis	Hypotension, tachycardia, palpitations, pulmonary edema, facial flushing. Fetal tachycardia.
Given IV thru infusion pump titration first. Then moved to PO. Not used much anymore.
Antepartum		Brethine	Tocolytic	Tocolysis	Hypotension, tachycardia, palpitations, pulmonary edema, facial flushing. Fetal tachycardia.
Given IV thru infusion pump titration. Then moved to PO. May use SQ doses for acute, short-term use. Used 2nd most after MgSO4
Intrapartum		Marcaine	Local anesthetic	Epidural anesthesia	Complications r/t hypotension episode with epidural
Most have BP monitored frequently (q 15 mins) with epidural anesthesia.
Intrapartum		Duramorph Morphine	Narcotic analgesic	Pain relief (surgical)	Sedation
Duramorph placed in epiddural line for continued pain relief up to 24 hrs. Morphine usual drug in PCA. Also given in RR for pain relief.
Intrapartum		Anaprox	NSAID	Pain relief
Intrapartum		Percocet	Combination analgesic	Pain relief	Sedation
Intrapartum		Rhogam	Immunoglobulin	Prevention of development of antibodies to fetus's Rh-positive blood
Given antepartum to mom who is Rh negative: at 28 wks and after amnio or abortion; and to Rh negative mom at delivery who's baby is Rh positive.
Newborn		Survanta	Lung surfactant	Improve lung surfactant to decrease incidence of RDS
Given intratracheal only within 15 mins of birth; rescue given within 8 hrs of age. Indicated for infants 600-1750g
Newborn		Stadol	Narcotic analgesic	Pain relief	Sedation. Can cause transient loss of FHR variability. Neonatal resp if given close to delivery
Newborn			Antibiotic	Prevention of neonatorum ophthalmia
Prevention blindness from gonorrhea, Chlamydia. Should be given within first hr of life. State Law
Newborn		Sublimaze	Narcotic analgesic	Synergistic effect with epidural	Not absorbed systemically. Adverse effects r/t hypotension w/epidural
Small amts added to epidural anesthesia.
Newborn		Recombivax HB	Vaccine	Prevention of HepB
Recommended within 1st 12 hrs after birth. Series of vaccines.
Newborn		Demerol	Narcotic Analgesic	Pain relief	Sedation. Can cause transient loss of FHR variability. Neonatal resp if given close to delivery
Newborn		Cytotec	Prostaglandin	Cervical ripening	Can cause uterine hyperstimulation
Approved as antiulcer. Off-label use in OB. Also used as abortifacient in 2nd trimester.
Newborn		Nubain	Narcotic Analgesic	Pain relief	Sedation. Can cause transient loss of FHR variability. Neonatal resp if given close to delivery
Newborn		Narcan	Narcotic antagonist	Reversal of resp depression r/t narcotics
Given IM. Must assure neonatal dosage.
Newborn		Pitocin	Oxytoxic	Labor induction; Prevention of PPH	R/T hyperstimulation
Given IV thru infustion pump titration. 1st line of drug for prevention t/x of PPH
Newborn		Aqua Mephyton	Vitamin K	Prevention of hemorrhagic dx of the newborn
Given IM within 1st hr of life.
Newborn		Phenergan	Antiemetic	Prevention/tx of n/v Synergistic with narcotics	Can cause extrapyramidal effects. Use lowest dose
Newborn			Local anesthetic	Episotomy
w/o epinephrine
Postpartum		Hemabate	Prostaglandin	Severe PPH
3rd line of drug for PPH
Postpartum		Colace	Stool softner	Prevention of constipation
Postpartum		Feosol	Iron replacement	Prevention/tx of anemia	May turn stools dark.
Take with Vit C to increase absorption
Postpartum		Motrin	NSAID	Pain relief
Postpartum		Depoprovera	Progestin	Birth Control
Given q 3 months IM
Postpartum		Rubella vaccine	Vaccine	Prevention of rubella
Give PP only.
Postpartum		Methergine	Oxytocic	PPH	May increase BP
2nd line of drug for PPH (IV). Can be continued PO.