Exam 1 Medication List Flashcards
What is ampicillin’s ROA?
IV
What is ampicillin’s dose?
2gm initial dose; 1-2gm Q4 until birth
What are 2 side effects of ampicillin?
GI disturbance, allergy (anaphylaxis)
What is the action of ampicillin?
Antibiotic, stops cell wall mucopeptide synthesis
What is betamethasone’s ROA?
IM
What is betamethasone’s dose?
12mg IM Q24H x2 doses
What are 2 side effects of betamethasone?
Inc. BP, edema
What is the action of betamethasone?
Induce fetal lung maturation between 24-34 weeks gestation for high risk of preterm births
What is calcium gluconate’s ROA?
IV Push
What is calcium gluconate’s dose?
1-2gm IV
What are 2 side effects of calcium gluconate?
N/V, constipation
What is the action of calcium gluconate?
Antidote to magnesium
What is cytotec’s ROA?
oral, vaginal/rectal
What is the dose of cytotec?
1/4 of 25mg tablet intravaginally for labor; 800-1000 mcg rectally for PP hemorrhage
What are 2 side effects of cytotec?
Cramping, uterine hyperstimulation
What is the action of cytotec?
Induction of labor, gastric protectant
What is the ROA of hemabate?
IM
What is the dose of hemabate?
250mcg IM x 1 (2 doses total)
What are 2 side effects of hemabate?
H/A, N/V
What is the action of hemabate?
stops bleeding after birth
What is the ROA of magnesium sulfate?
IV
What is the dose of magnesium sulfate?
4-6gm bolus, then 1-3gm/hr x 12-24hrs
What are 2 side effects of magnesium sulfate?
cardiovascular collapse, respiratory paralysis
What is the action of magnesium sulfate?
Neuro protectant for fetus, prevention of seizures in hypertensive and preeclampsia conditions
What is the ROA of methergine?
PO/IM
What is the dose of methergine?
0.25mg IM; 0.2 PO TID/QID up to 1 week
What is a side effect of methergine?
Incr. BP
What is the action of methergine?
Stimulates uterine contractions to stop bleeding after birth
What is the ROA of terbutaline?
SQ/IV/PO
What is the dose of terbutaline?
0.25mg SQ; 2.5mg-5mg Q4-6H PO
What are 2 side effects of terbutaline?
tachy for mom/fetus; uncomfy for women
What is the action of terbutaline?
Relaxes uterus in pre-term labor; used for fetal distress
What is the ROA of naloxone?
SQ/IM
What is the dose of naloxone?
0.4mg Q2-3min PRN
What are 2 side effects of naloxone?
Tachycardia, hypotension
What is the action of naloxone?
Opioid OD
What is the ROA of pitocin?
IV/IM
What is the dose of pitocin?
20-60 units diluted in 500-1000mL; 10 units IM x1
What are 2 side effects of pitocin?
Hyperstimulation, abruptio placentae
What is the action of pitocin?
stimulates contractions, stops hemorrhaging
What is the ROA of duramorph?
SQ, IM, epidural, intrathecal, IV
What is the dose of duramorph?
10mg Q4H; 2-10mg/70kg IV
What are 2 side effects of duramorph?
sedation, constipation
What is the action of duramorph?
Pain relief without loss of function
What is the ROA of fentanyl?
IV
What is the dose of fentanyl?
100 mcg
What are 2 side effects of fentanyl?
Apnea, respiratory depression
What is the action of fentanyl?
helps with labor pain by increasing threshold/blocking pathways
What is the ROA of ketoralac?
PO, IV, IM
What is the dose of ketoralac?
10mg PO Q6H, 30mg Q6 IV/IM
What are 2 side effects of ketoralac?
H/A, nausea
What is the action of ketoralac?
Blocks postpartum pain by blocking prostaglandin production
What is the ROA of nitrous oxide?
Intermittent inhalation
What is the dose of nitrous oxide?
50% O2, 50% N2O
What are 2 side effects of nitrous oxide?
Nausea, vertigo
What is the action of nitrous oxide?
Labor pain
What is the ROA of nalbuphine?
IM/IV
What is the dose of nalbuphine?
10-20mg/70kg Q3-6H PRN
What are 2 side effects of nalbuphine?
hypotension, sedation (don’t mix with other opiates)
What is the action of nalbuphine?
Labor pain
What is the ROA of butorphanol?
IM/IV
What is the dose of butorphanol?
2-4mg IM Q4H, 0.5mg IV Q4H
What are 2 side effects of butorphanol?
Sedation, RD
What is the action of butorphanol?
Labor pain
What is the ROA of ancef?
IV
What is the dose of ancef?
1-2g IV 30-60min pre surgery
What are 2 side effects of ancef?
genital itching, loss of appetite
What is the action of ancef?
Prevents infection
What is the ROA of sodium citrate?
PO
What is the dose of sodium citrate?
10-30mL PO Q6-8H PRN
What are 2 side effects of sodium citrate?
N/V, diarrhea
What is the action of sodium citrate?
neutralizes stomach contents before OR
What is the ROA of percocet?
PO
What is the dose of percocet?
2.5-10mg hydrocodone
What are 2 side effects of percocet?
CNS depression, constipation
What is the action of percocet?
short term pain relief
What is the ROA of rhogam?
IM
What is the dose of rhogam?
300mcg @ 28 weeks gestation then 300 mcg within 72H of delivery
What are 2 side effects of rhogam?
Injection site rxn., incr. temp
What is the action of rhogam?
Prevent Rh incompatibility
What is the ROA of erythromycin?
Eyes
What is the dose of erythromycin?
0.5% ointment ribbon on each eye
What is a side effect of erythromycin?
Blurs neonatal vision
What is the action of erythromycin?
Prevent blindness due to gonorrhea/chlamidya
What is the ROA of lidocaine 1%?
Topical/subdermal
What is the dose of lidocaine?
0.5%-3.1%
What is the action of lidocaine?
Local for episiotomy and male circumcision
What is the ROA of Vitamin K?
IM
What is the dose of vitamin K?
0.5-1mg IM x1
What is the action of vitamin K?
Prevent hemorrhagic disease of newborn