Ambien

Patient sedation/relaxation
Short term treatment of insomnia (7-10 days)

Ampicillin
Prophylactic during labor and delivery for mothers + for group B streptococcus

Used to treat neonates testing + for group B streptococcus to avoid neonatal sepsis and
meningitis

Ancef
May be used as a surgical prophylaxis

Betamethasone
Administered to mothers 24 hours prior to preterm delivery to induce the production of
fetal surfactant which reduces the risk or decreases the severity of respiratory distress
syndrome.

Bictria
Prevention of Acid Aspiration Syndrome prior to a surgical procedure

Bisacodyl/Dulcolax
Decreased constipation
Soft formed stools
Bowel free of stool prior to procedure

Calcium Gluconate
Increased calcium levels in neonate
Decreased tetany in neonate
Prevention of hypocalcemia during exchange transfusions
Correction of hyperkalemia

Cervidil
Cervical effacement and dilation in term pregnancy
Onset of labor
May be used to empty the uterus if fetal death has occurred before 28 weeks or uterus
contains benign hydatidiform mole

Clindamycin
Absence of infection
Used for staphylococci and streptococci infections
Surgical prophylaxis for women allergic to PCN or cephalosporin

Colace
Decreased constipation
Soft formed stools

Compazine
Decreased nausea and vomiting
Given prior to anesthesia to prevent or decrease post-operative N/V

Darvocet
Decreased mild to moderate pain
Pain at a tolerable level

Demerol
meperidine
Decreased moderate to severe pain
Pain at a tolerable level

Dexamethasone
Administered to preterm or high risk neonates to prevent respiratory distress syndrome

EMLA
Decreased pain at injection s

Erythromycin
Absence of infection
Alternative to clindamycin as a surgical prophylaxis for women allergic to PCN or
cephalosporins

Erythromycin ointment
Prophylaxis for neonatal gonoccalophthalmia
Absence of infection

Fentanyl
Decreased pain
Supplement to anesthesia

Ferrous sulfate
Prevention and correction of iron deficiency

Gentamycin
Absence of infection
Used for severe systemic infections of CNS; respiratory, GI, urinary tracts; bone; skin;
soft tissues; acute Pelvic Inflammatory Disease caused by susceptible strains

Hemabate
Decreased postpartum bleeding by stimulating uterine contractions
Abortion between 3-20 wks gestation

Ibuprofen
Decreased pain, inflammation, fever

Indocin/indomethacin
Decreased pain and inflammation.
Closure of patent ductusarteriosus in premature infants

Insulin
Decreased blood glucose levels in diabetes mellitus (70-130)

Labatolol
Decreased blood pressure
IV to treat hypertensive crisis

Lanolin
Reduction in sore cracked nipples

Magnesium Sulfate
Increased osmotic pressure
Decreased blood pressure (preeclampsia, eclampsia)

Methergine
Absence of hemorrhage
Increased contractions
Decreased bleeding

Multivitamin
Prevents and treats vitamin deficiency

Mylicon
Reduction in S/S associated with gas in GI system

Narcan
Compete with opioid receptor sites to reverse respiratory depression from surgical
procedure or opioid overdose

Neonate: reverse asphyxia neonatorium

Numorphan
Reduce moderate to severe pain
Penicillin G
Absence of infection
Used for infections of the respiratory tract, scarlet fever, otitis media, pneumonia, skin
and soft tissue infections, gonorrhea, prevention of rheumatic fever

Percocet
Decreased moderate to severe pain

Phenergan
Absence of nausea and vomiting
Relief of various allergic conditions
Sedation during surgery

Pitocin
Stimulation of labor, control of bleeding, stimulation of breast milk letdown

RhoGam
Absence of Rh factor and transfusion error

Rubella
Immunity against contracting rubella

Senokot
Decreased constipation
Soft formed stools

Stadol
Relief of severe to moderate pain
Analgesia during labor
Preoperative sedation

Sucrose
Decreases sensitivity to pain during procedures (i.e. circumcision, heel sticks)

Terbutaline
Absence of contractions after going into preterm labor
Unlabeled use premature labor by reducing or eliminating contractions

Tylenol
Decreased mild to moderate pain, absence of fever

Tylenol 3
Decreased moderate to moderate-severe pain, absence of fever
Vicodin
Decreased moderate to moderate-severe pain, absence of fever

Vistaril
Decreased preoperative anxiety
Decreased postoperative nausea and vomiting
Potentiation of opioid analgesics

Vitamin K
Decreased risk for hemorrhagic disease in the neonate

Xylocaine
Decreased pain

Pitocin (Oxytocin)
Produces intermittent uterine contractions.
* Comes pre-mixed for intrapartum use.
* Administer IV piggyback & always on a pump.

USE: Induction of labor

DOSE (milli-units):
* Low Dose: 1-2 mu/hr - increase 1-2 mu q30 mins.
* Regular Dose: 2-4 mu/hr increase 2 mu q30 mins.

USE: To augment labor process.

DOSE: Initiate when contractions are <250 MVU's (montevideo Units) for > 1 hr.
Generally use "low dose" protocol.

USE: Control heavy bleeding after delivery.

Administer:
*IM -10 U
*IV - 20-40 U in 1000 mL IV fluid - run maintenence at 20 mL/hr.

Protaglandins i.e. Cervadil

USE: "Ripen" a cervix as preparation for labor induction.

Administration: vaginally - placed in the prosterior fornix - remains in place for up to 12

hrs.

* Requires continuous fetal monitoring.

* 1 hr must lapse after removal prior to starting Pitocin infusion.

3

Cytotec (Misoprostol)
USE: "Ripen" cervix.

Administration:
* Vag 25-50 mcg Q6 hrs.
* Oral 25-50 mcg Q6 hrs.

May give up to 4 doses.

USE: control heavy bleeding

Administer: 600-800 mcg PO or PR
*May repeat as needed

Methergine
USE: Control heavy bleeding

Administer: 0.2 mg IM Q 2-5 hrs.

* Do not exceed 5 doses.

Produces a continuous uterine contraction.

*Will raid BP - never give with elevated BP.

Hemabate (Prostin)
USE: Control heavy bleeding

Admin: 250 mcg IM Q 1 1/2 - 2 1/2 hrs

Demerol (Meperidine HCL)

Narcotic
DOSE: 25, 50, 75, 100 mg IM for labor.

PEAK: 30-50 mins.

DURATION: 2-4 hrs
IV DOSE: 12.5 - 25 mg slowly
ONSET: 5 min
PEAK: 20 mins
DURATION: 1-2 hrs

* Fetal CNS depression

* Have to know she won't deliver within 2-3 hrs.

Morphine

Narcotic
DOSE:
* IM - 6-10 mg
* IV 3-6 mg

Rapid onset
2 hr duration

* Have to know she won't deliver within 2-3 hrs.

Fentanyl (Sublimaze)

Narcotic
Most often given

DOSE: 100 mcg/ 2mL

1-2 mL (50-100 mcg) Q 1-2 hrs IV

Rapid onset
PEAK: 7 mins - 30-60 mins

* Respiratory depressant

Narcan (Naloxone)
Opiod reversal - (antagonist) overdose
DOSE:
* IM or Sub-Q - 0.4 - 2 mg Q 2-3 mins until response - up to 10 mg.

If you give Demerol/Morphine and they start to deliver before the 2-3 hr window, admin
Narcan.

10

Seconal

Sedative
Sedative

ADMINISTER: PO 200 mg

Half-life of 30 hrs.

11

Phenergan (Promethazine)
&
Vistaril (Hydroxyzine)

Tranquilizers
Phenergan (Promethazine) - anti-emetic, adjunct to analgesic

DOSE: IM 12.5-50 mg early labor (max 100 mg/24 hrs)

Vistaril (Hydroxyzine) - sedative, tranquilizer

DOSE:
*IM - 50 mg
*PO - 50-100 mg
*Never give IV

12

Betamethasone (Celestone)
Corticosteroid

Given to women 24 hrs prior to birth of infant <34 weeks gestation to hasten maturity of
the lungs & decrease incidence of respiratory distress syndrome.
DOSE: IM - 12.5 mg initial dose - 2nd dose repeated in 24 hrs.

13

Magnesium Sulphate (MgSO4)

CNS depressant.Given to diminish uterine contractions. Pregnancy induced HTN hasa
danger of seizing.

ADMINISTER: 4-6 Gm in 250 mL LR over 30 mins.

Pre-eclampticPt/Seizures
Generally admin. "loading dose" 4 Gm. in 250 mL LR IV over 30 mins. Then 2Gm/ hr
IV

*Monitor MgSo4 levels Q6 hrs. If levels are >9 - stop infusion & notify doc
*Always heck patellar reflexes hourly -stop infusion if reflexes are deminished.
*Antidoet: Calcium Gluconate - IV very slowly (doc give)

14

Methergine
&
Pitocin

Post-Partum Meds
Methergine

PO - 0.2 mg Q 4-6 hrs

Pitocin

IV - 20-40 U in 1000 mL solution (continue from L&D recov - usually at a slower rate -
100-125 mL/hr

15

Pain Control
Ibruprofen
* PO 800 mg Q 8hrs

Percocet (Oxycodone/acetaminophen)
* PO - 5/325 or 7.5/325
Tylenol #3 (Codine/acetaminophen)
* PO 1-2 Q 4-6 hrs PRN - not more than 12 tabs in 24 hrs.

Lortab (Hydrocodone/acetaminophen)
* PO - 5/500 - 7.5/500 - 1-2 tabs Q 4-6 hrs. Not more than 8 tabs in 24 hrs.

16

Sleep Drugs
Seconol

PO - 100 mg @ H.S.
30 hrhalf life
Not used as much as in the past

Ambien (Zolpidem)

PO - 5-10 mg @ H.S.
Short half life

17

Other Stupid Drugs for the Pooper

Colace (Docusate) - constipation

PO - 50-100 mg - take w/ full glass of water

Tucks (Witch Hazel patches)

Apply to perineum
After cleansing - peri-care

18

Newborn Meds
Erythomycin - Opthalmic antibiotic ointment

1 mg unit dose for both eyes

Vitamin K

Injection - 1 mg - 0.5 mL (unit dose)

Hepatitis B - first injection of series

1 mcg - 0.5 mL (unit dose)
*Parent must sign permission slip prior to administration