OB Medications (LABOR AND DELIVERY)

Question 1

Pitocin (Oxytocin) MOA/ROUTE

Answer 1

IV slow titrated drip: for induction
IM/IV: for postpartum bleeding

Question 2

Nubain PRE, ROUTE, CONTRA

Answer 2

pre: assess resp status
route: IV for pain relief in labor
contra: do NOT given if delivery in next hour or past 8cm (crosses placental barrier = resp distress in infant)
PRECAUTIONS: will make pt confused/high/drunk- FALL RISK

Question 3

Duramorph MOA, CONTRA

Answer 3

moa: pain relief
contra: resp depression (antidote)

Question 4

Magnesium Sulfate MOA, PRE, S/SX

Answer 4

moa: seizure prec, lower BP, and preterm labor
pre: assess reflexes
s/sx: feel yucky
CHECK FOR MAG TOXICITY- calcium gluconate at bedside!!

Question 5

Methergine MOA, ROUTE,PRE

Answer 5

pre: check maternal BP = increase VS
moa: postpartum bleeding
route: IM

Question 6

Hemabate ROUTE, MOA, S/SX, CONTRA

Answer 6

route: IM
moa: postpartum bleeding
s/sx: diarrhea
contra: do NOT give to mother c asthma

Question 7

Cytotec MOA, ROUTE

Answer 7

-vaginally = induction
-rectally = postpartum hemorrhage
-sublingual = postpartum hemorrhage

Question 8

Tranexamic Acid ROUTE, MOA

Answer 8

EXTREME emergency if med needed
moa: tx severe hemorrhage
route: IV