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Antepartum
Magnesium Sulfate
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Class: Anticonvulsant (anti seizure)
Uses: TX of PTL
SE during loading dose:
Facial flushing, warmth.
SE during tx: hypermagnesium (loss of
reflexes, resp arrest, cardiac arrest)
Route: Infusion Pump
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Antepartum
Benedryl
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Class: Antihistamine
Uses: TX of pruitis r/t anesthesia
Route: IV
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Antepartum
Terbutaline-Brethine "Terb"
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Class: Calcium Channel Blocker
Uses: To stop contractions; short acting
Route: SubQ
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Antepartum
Dexamethasone "Dexpak"
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Class: Steriod
Uses: Antiinflammatory; helps baby's lungs stay open
Route: IM
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Newborns
Erythromycin 1% ointment (opthalmic)
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Class: Antibiotic
Uses: Prevention blindness from gonorrhea, Chlamydia.
Should be given within first hr of life. State Law
Route: Topical
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Newborns
Narcan
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Class: Narcotic antagonist
Uses: Reversal of resp depression r/t narcotics
Route: Given IM; assure neonatal dosage.
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Newborns
Hep B Vaccine |
Class: Vaccine
Uses: Prevention of Hep B
Route: Parenteral
Recommended within 1st 12 hrs after birth. Series of vaccines.
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Newborns
Triple Dye
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Class: Antibacterial
Uses: Sanitize baby's umbillical cord
Route: Topical Tincture
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Newborns
Vitamin K- Phytonadione
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Uses: Prevention of hemorrhagic dx of the newborn; clotting factors not yet established
Route: Given IM within 1st hr of life.
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Newborns
EMLA Cream
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Class: Anesthetic
Uses: Numbing cream
Route: Topical
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Labor & Delivery
Ampicillin
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Class: Antibiotic
Uses: Prevention of group beta step (GBS) being passed from mom to baby during birthing process
Route: IV
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Labor & Delivery
Cytotec-Misoprostil
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Class: Prostglandin
Uses: Cervical ripening
SE: Can cause uterine hyperstimulation
Approved as antiulcer. Off-label use in OB. Also used as abortifacient in 2nd trimester.
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Labor & Delivery
Hemabate-Carboprost
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Class: Prostaglandin
Uses: Severe PPH (persistant pulmonary hemmorhage)
3rd line of drug for PPH
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Labor & Delivery
Methergine
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Class: Oxytoxic
Uses: PPH
SE: May increase BP
2nd line of drug for PPH
Route: IV; Can be continued PO
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Labor & Delivery
Nubain
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Class: Narcotic analgesic
Uses: Pain relief
SE: Sedation. Can cause transient loss of FHR variability. Neonatal resp if given close to delivery
Route: IV
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