Med List

Question 1

Ampicillin

Answer 1

IV
2 gm initially, then 1-2 gm Q4 until birth
for strep group B pos. moms
GI disturbance, rash

Question 2

Betamethasone

Answer 2

IM
12 mg Q24 x 2 doses
for mamas b/t 24-34 wks at risk for premies
accelerates lung development in bbs
sodium retention, high BP

Question 3

Calcium Gluconate

Answer 3

IV Push
1-2 g.
an antidote to magnesium
N&V, constipation

Question 4

Cytotec

Answer 4

vag, oral, rectal
1/2 25 mg pill intravaginally - induce labor
800-1000 mcg rectally - stop PP hemorrhaging
cramping, uterine hyperstimulation

Question 5

Hemabate

Answer 5

IM
max 2 g; admin. 250 mcg x 1
controls PP hemorrhage
N&V, diarrhea

Question 6

Magnesium Sulfate

Answer 6

IV
4-6 gm bolus, then 1-3 gm/hr x 12-24 hrs. (max 40 g/day)
preterm given as a neuro protectant for the fetus (dec. CNS sensitivity, dec. hypertension and preterm contractions)
SE: cardiovasc. collapse, respiratory paralysis

Question 7

Methergine

Answer 7

PO/IM
.2 mg PO; .25 mg IM
stimulates uterine contractions to stop hemorrhaging PP
inc. BP

Question 8

Pitocin

Answer 8

IV: 20-60 units diluted in 500-1000 mL
IM: 10 units 1x after placenta delivery
stimulates contractions, firms uterus
uterine rupture, hyperstimulation

Question 9

Terbutaline, (Brethine)

Answer 9

SUBQ/IV: .25 mg
PO: 2.5-5 mg Q 4-6 hrs
relaxes uterus in preterm labor/induction/tetanic contract.
tachycardia for mama/bb, uncomfortable for women

Question 10

Vitamin K

Answer 10

.5-1 mg IM 1x
prevention of hemor. in baby
low transfer to milk

Question 11

Lidocaine

Answer 11

Topical/Subdermal
.5%-3.1%
local anesthesia for episiotomy and circumcision

Question 12

Erythromycin

Answer 12

eye ointment
a “ribbon” on each eye, .5%
prevents blindness in newborn exposed to mother’s chlamydia/gonorrhea
blurs newborn vision

Question 13

Rhogam (RHO)

Answer 13

IM
300 mg at 28 wks gest., then 300 mg within 72 hrs of delivery
protects rH neg. moms from antibodies present in rH pos babies; or with miscarriage, abdominal trauma
elevated temp, injection site irritation

Question 14

Percocet

Answer 14

PO
2.5-10 mg w 300-325 mg of acetamenophin Q 4-6 hrs
short term pain relief
GI disturbance, constipation, CNS depression

Question 15

Duramorph (Morphine)

Answer 15

SC/IV/IM/Epidural
5-20 mg Q4, 10 mg/70 kg
extended pain relief
sedation, constipation

Question 16

Naloxone (Narcan)

Answer 16

SC/IM
.4 mg Q 3-4 minutes PRN
opioid overdose
tachycardia, hypotension, N&V

Question 17

Fentanyl

Answer 17

IV
100 mcg. (2-10 u/kg)
dec. labor pain
apnea, resp. depression

Question 18

Ketoralac (Toradol)

Answer 18

PO: 10 mg Q6
IV/IM: 30 mg Q6 (max 120/day)
postpartum pain
N&V, diarrhea

Question 19

Nitrous Oxide

Answer 19

through face mask
50% N2O
eases labor pain
euphoria, vertigo

Question 20

Nalbuphine

Answer 20

IM/IV
10-20 mg/70 kg Q 3-6
labor pain opioid
hypotension, sedation, resp. depression in mother/baby

Question 21

Butorphanol (Stadol)

Answer 21

IM: 2-4 mg Q 4
IV: .5 mg Q 4
helps labor pain
sedation, resp. depression

Question 22

Ancef

Answer 22

IV: 1-2 g, .5-1 hr before surgery
pre-op for cesarean to prevent infection
N&V, headache

Question 23

Sodium Citrate

Answer 23

PO: 10-30 mL Q 6-8 (max 4 doses/day)
antacid, neutralizes stomach contents
N&V, diarrhea