OB Medications Flashcards
What is Pitocin used for?
(3) points
- Induces or stimulates labor
- Increases uterine contractions
- Decreases postpartum bleeding
Contraindication for Pitocin?
Cervix not being “ripened”
Any side effect for pitocin?
- Itracranial hemorrhage (vasodilation)
- Painful contractions
- Uterine rupture
Pitocin is the synthetic version of what hormone in our body?
Oxytocin
What is methergine used for?
- Stimulates uterine contractions
- most commonly used to prevent and treat post partial hemorrhage
Which medication is most commonly used to prevent and treat PPH?
Methergine
What S/E can you expect w/ methergine
There are two, rel. to CV
- HTN
- Stroke
What safety precaution should you be aware of before giving methergine?
Do not give to HTN clients and monitor BP
What is magnesium sulfate used for?
Used to prevent seizures d/t worseing preeclampsia
- Arrhythmias
- Decreased calcium
- Decreased deep tendon reflexes
- Decreased RR
- Decreased UO
Are all S/E of which medication
Magnesium sulfate
What is turbetaline used for?
Supresses preterm labor
Terbatuline is considered a tocolytic, why?
Because it decreases uterine contractions
S/E of terbutaline?
- Tremors
- Nervousness
- Palpitations
- Hypotension
Any education for terbutaline?
You have to monitor HR & BP
Terbutaline is what type of agonist?
Beta 2 agonist
What is fentanyl used for in pregnancy?
Pain control
What are 3 SE for fentanyl?
- Respiratory depression
- Constipation
- Low HR + RR
What is the antidote for Fentanyl?
Narcan/Nalaxone
A pregnant woman has morning sickness, what med do you give her?
Phenergan
Also called promethazine
3 S/E for phenergan
- Confusion
- Sedation
- Headache
Education for phenergan?
Slow IV push and monitor RR
Due to its sedative effects
What is Stadol?
Opioid used to relieve pain during labor
S/E of Stadol?
Resp. depression
What would you want to monitor with Stadol?
Respiratory Rate
Hemabate, what is it used for?
- Causes smooth muscle contractions
- Terminates pregnancy (13-20)
- Treats PPH caused by uterine atony (boggy)
Hemabate is very similar to pitocin, why?
- Causes uterine contractions
- Treats PPH caused by uterine atony
S/E of hemabate
Arrhythmias, uterine rupture, HTN, bronco construction
Cyotec (Misoprostol), what is it used for?
-Induces labor
-Used for elective abortion
-Softens cervix/promotes cervical ripening
-Prevents uterine atony after delivery
How is Cytotec administed?
What form and where?
Tab, vaginally or rectally
Cervidil (Dinoprostone), what is it used for?
- Effaces and dilates cervix
- Stimulates uterine contractions
- Expels uterine contents
Education for cervidil?
Vaginal insert
What is betamethasone used for?
Given IM for lung development in premature infants
Betamethasone is administered to who? Baby or mother?
Given as an IM to mother
Surfactan synthesis in fetus is stimulated by what medication?
Betamethasone
What does prostglandin gel do?
- Induces labor
- Terminates pregnancy
- Ripens unfavorable cervix
Where do you store prostglandin gel?
In the freezer
How do you administer prostglandin gel?
Vaginally
What is the first line tocolytic?
Nifedipine
Nifedipine also treats what?
Gestational HTN and preeclampsia
What precaution do you have to take w/ nifedipine
- Use cautiously in breastfeeding
- Monitor BP
What drug class is nifedipine?
Calcium Channel Blocker
What med would you give to reduce maternal BP w/o reducing HR and CO?
Labetalol
What is hydralazine used for?
Tx of sever HTN in pregnancy
We have an overdose of Magnesium sulfate, what antidote do we use?
Calcium gluconate
Percocet (oxycodone) is used for what?
PP pain
Biggest precaution w/ percocet is what?
Do not breastfeed while on percocet!
It is toxic to infants
What is Norco composed of?
Hydrocodone + Acetaminophen
What is Norco used for?
Pain
S/E of Norco?
Respiratory depression
Using Norco during pregnancy can have what effect on the baby after moms d/c drug in PP?
Neonatal abstinence syndrome
A group of conditions caused when a baby withdraws from certain drugs they were exposed to in the womb before birth.
What is Tylenol #3 used for?
Codeine + Acetaminophen
PP pain
What do you want to instruct pregnant woman while using Tylenol #3?
Dont breastfeed
If mom cannot take Norco or Tylenol #3, what alternative pain medication can you give to breastfeeding mothers?
Ibuprofen
________ is an NSAID given for pain and is injected IM
Toradol (Ketorolac)
Mom needs a stool softner, what do you give?
Colace (Docusate Sodium)
Okay to give during pregnant and breastfeeding
What is simethicone used for?
Gas reduction and to reduce bloating
What is Rhogam used for?
Used when there is Rh factor incompatibility between mother and baby
Mother would be Rh- if she needed this
Regular insulin is used for what
?
Gestational diabetes
What is the intermediate acting insulin called?
NPH
What is MMR used for?
To prevent:
* Measles
* Mumps
* Rubella
Is MMR a live vaccine?
Yes
When do we give MMR?
After birth
What is the tDaP vaccine used for?
Tetanus, diphteria, pertussis
When can tDaP be given?
During pregnancy between 27-36 weeks
What is Vitamin K used for?
To help baby blood coagulate
Prevents hemorrhagic disease of the newborn
Who gets vitamin K and in what form?
Injected IM to the babies thigh
Hepatitis B Vaccine is given to prevent what?
Hep B
When is Hepatits B vaccine given to babies?
Before discharge
What is the difference between hepatitis immune globulin vs. hepatis b vaccine?
Hep immune globulin is given when the mom is Hep B positive
What is the 1st line of defense for sepsis in the baby?
Ampicillin
THINK (A)
What is the second line of defense for sepsis in a baby?
Gentamicin
What risk does the baby have when getting gentamicin?
Gentamicin is ototoxic
What is erythromycin eye ointment for?
It is used to prevent gonorrhea and chlamydia infection in babies eyes
What is indocin used for?
Decreases uterine contractions d/t preterm labor
Indocin is what pharm class?
NSAID
What is nubain used for?
Similar to morhine, it is a pain med
What is stadol?
Opioid used to relive pain during labor
