Drugs Flashcards
Dosage for Penicillin G for GBS
6 mu bolus
3 mu q4h until delivery
Drug to use during cord prolapse
Terbutaline (tocolytic agent)
0.25 mg SQ to stop contractions
Assess HR and lungs
Labor pain drugs include…
Sedatives
Antiemetics
Narcotics
Regional blocks
Antiemetics for labor
Promethazine
Odansetron
Metoclopramide
Bicitra
Analgesia effects on baby
Respiratory depression
Decreased alertness
Delayed sucking and eating
Not good to use as analgesic…
Demerol
Morphine for laboring but OK for recovery
Codeine
Analgesics for labor
Hydromorphone
Fentanyl
Butorphanol
Nalbuphine
Protocol for narcotic analgesics
q1-2h IVP
Slowly
Not too early - this will slow labor
Not too late - this will effect baby
Narcan to reverse resp depression
Regional blocks
Epidural
Spinal
Local
Pudendal
Negatives for epidural
Longer labor
Limited movement
Need for more pitocin
Likelier to need forceps and vacuum
Hypotension
Pruritis
Retention
Potential epidural complications
Hypotension / fetal bradycardia
Spinal HA
Infection
Spotty block
Hematoma
(Also increased temp according to PrepU)
When is the spinal block used?
C/S
When is general anesthesia used?
Emergency C/S
Why take Metoclopramide (Reglan)?
For full stomach, moves it down tract to prevent aspiration
Why take bicitra (sodium citrate)
Neutralizes stomach acid
