Shots, Shots, Shots!
Given to prevent RH immunization in individuals with a negative blood type and is usually given at 26-28 weeks' gestation and PP after the delivery of an RH positive baby and side effects can include a slight fever.
What is Rh Immune Globulin or Rhogam?
CDC recommended dose is 400 mcg Q Day for all women of childbearing age to help prevent major birth defects of the baby’s brain and spine, such as spina bifida and anencephaly. Rare side effect of an upset stomach can occur.
What is Folic Acid?
Used to protect the infant against a potentially serious liver disease. Given at birth and then again at 2 months of age and a last dose between 4 to 6 months of age. Side effects can include a low-grade fever (less than 101 degrees) and soreness at the injection site.
What is Hepatitis B Vaccine?
Given IVPB to patients with positive GBS result, unknown GBS result with risk factors of less than 37 weeks' gestation, prolonged ROM or intrapartum fever of 100.4 or greater or to patients who have had a previous infant with invasive GBS disease. Given as a 2-gram loading dose and then 1-gram every 4 hours until delivery.
What is Ampicillin/Penicillin?
Used as a local anesthetic prior to performing an episiotomy or before a perineal repair. Given/Injected by a physician or midwife.
What is Lidocaine?
Is used to treat iron deficiency anemia that may be caused by the blood loss sustained during delivery.
What is Ferrous Sulfate/Iron?
Given for the prevention and control of N/V associated with anesthesia and surgical procedures and as an adjunct to analgesics for postoperative and intrapartum pain control. Should be given IM due to potential for severe tissue damage, thrombophlebitis, tissue necrosis and gangrene.
What is Phenergan?
Two doses are given to pregnant women between 24-34 weeks gestation who are at risk of delivering a preterm baby within the next week primarily to speed up lung development in preterm fetuses by stimulating the synthesis and release of surfactant and whose side effects include elevated blood sugar and soreness/pain at the injection site in the pregnant woman.
What is Betamethasone?
Corticosteroid
Used to prevent eye infections in newborns commonly known as neonatal conjunctivitis which can lead to blindness, usually caused by exposure to gonorrhea and chlamydia during delivery.
What is Erythromycin Ophthalmic Ointment?
Given to soften the cervix and induce contractions to begin labor and can be used to prevent or treat PP hemorrhage. For induction of labor, it is given every 3-4 hours. Can be given PV, PR, SL or orally and side effects can include ruptured uterus. Is actually contraindicated for use in pregnancy.
What is Cytotec (Misoprostol)?
Prostaglandin
Given pre-operatively 30 minutes or less before skin incision to prevent infection from surgery. Dosage is usually 2 grams IVPB x 1. Is also used to treat patients with GBS who have non anaphylactic reaction to Ampicillin/Penicillin.
What is Cefazolin/Ancef?
Given to help with pain relief from cramping in the postpartum period. Common dosages are 600-800 mg ever 6-8 hours orally. Do NOT use in patients with severe pre-eclampsia and/or PP hemorrhage.
What is Motrin?
NSAID
Given for the treatment of PP hemorrhage due to uterine atony and whose side effects include diarrhea and is contraindicated in patients with a history of asthma.
What is Hemabate?
Used in pregnancy to prevent seizures associated with pre-eclampsia, for control of seizures with eclampsia and for treatment of PTL. Is given as a loading dose of 4-6 grams IV and then continued with a maintenance dose of 1-4 g/hour IV. Side effects can include pulmonary edema, low BP, depressed reflexes, drowsiness, weakness, flushing, warmth.
What is Magnesium Sulfate?
***For an extra 100 points, what is the antidote for Magnesium toxicity. ***
Used by the body to form clots and to stop bleeding. Infants are born with very little of this in their bodies. Without this injection the infant is at risk for life threatening cases of bleeding, including intestinal and brain bleeds and can occur up to 6 months of age.
What is Vitamin K?
Is a synthetic version of a hormone naturally produced by the body to induce contractions and is used to induce or augment labor and is given to prevent PP hemorrhage after delivery. Is given IV and requires use of an IV pump and continuous fetal monitoring. Side effects include hyperstimulation of the uterus, N/V, bradycardia, headache.
What is Oxytocin/Pitocin?
Is an opioid agonist-antagonist analgesic and is used to treat pain from uterine contractions during labor. Dosage is usually 1-2 mg. Usually given every 4 hours, IV. Side effects include drowsiness, confusion, agitation, headache and can cause respiratory depression in the infant if given too close to delivery.
What is Stadol (Butorphanol)?
Narcotic
Used to relieve symptoms of extra gas in the digestive tract that can cause abdominal pain. Can be given post operatively to the mother or to infants who are formula feeding.
What is Mylicon?
Gastrointestinal Agents similar to Simethicone
Narcotic analgesia given via IV, epidural or intrathecal to provide pain relief for extended periods of time and if given requires patient monitoring of respirations and oxygen saturation for at least 24 hours and most common side effect is pruritus (itching).
What is Duramorph?
Is used to treat elevated BP and PTL in the pregnant patient due to its ability to vasodilate the systemic vasculature and causes relaxation of the uterine smooth muscle. Is given orally and is available in extended-release tablets. Side effects include dizziness, low BP, headache and sweaty palms.
What is Nifedipine or Procardia?
Ca Channel Blocker
Is an opioid antagonist that is indicated for infants whose mothers have received opioids in labor and if the infant is experiencing cardiorespiratory or neurological depression at birth. Should NOT be given to infants whose mothers are known to be physically dependent on opioids.
What is Narcan?
Used for the initiation of cervical ripening. Is inserted vaginally into the posterior fornix and should remain in place until the onset of labor or 12 hours after insertion.
What is Cervidil (Dinoprostone)?
Prostaglandin
Is a narcotic analgesic used to treat pain from uterine contractions in labor. Dosage is 50-100 mcg. Can be given every hour due to its short half-life. Becomes effective within 3-5 minutes and side effects include drowsiness.
What is Fentanyl?
Is given to women who tested susceptible to this disease during prenatal testing. Injection is given just prior to discharge and the patient should be advised against pregnancy for at least 4 weeks because it is a live vaccine.
What is Rubella Vaccine/MMR?
Used for the prevention and control of PP hemorrhage and is available in tablets or injection and can be repeated at intervals of 2-4 hours as needed and is contraindicated in patients with elevated BP, such as pre-eclampsia, gestational HTN or chronic HTN and side effects can include N/V, seizures and headaches.
What is Methergine (methylergometrine)?
Ergot Alkaloid
Used for its side effect and given to treat or delay preterm labor, given SQ usually into the lateral deltoid area. Some adverse reaction includes maternal and fetal tachycardia, jitteriness, palpitations and headache.
What is Terbutaline?
Bronchodilator and Tocolytic
Gives the baby’s body a boost to fight the virus if a mother has the active disease or her status is unknown. Works best if the baby receives this injection within the 1st 12 hours of life and the infant should be bathed prior to administration. Infant should also receive the full vaccination series.
What is H-BIG Vaccine?
Given pre-op, about 15-30 minutes prior to surgery, to patients to help neutralize gastric acid and prevent vomiting during surgery.
What is Bicitra (Sodium Citrate)?
Alkalinizing Agent
Is indicated for the relief of moderate to severe pain and have been used as treatment for morphine induced itching. Can be given during labor for pain relief of uterine contractions. The off-label use is to relieve opioid induced itching. Side effects can include sedation, clamminess, N/V, dry mouth and respiratory depression.
What is Nubain?
Synthetic Opioid Agonist
A local anesthetic used to reduce pain or discomfort from perineal lacerations or episiotomy.
What is Dermoplast?