Preterm Labor
What calcium channel blocker is used for to help relax uterine contractions? Common side effects include; headache, flushing, and feeling light headed.
Procardia (Nifedipine)
What beta blocker is often used for management in women with chronic hypertension in pregnancy and in pre-eclampsia? It can also be given IV for severe BP?
Labatelol
What IV opioid is given for pain management during active labor? Common side effects include; dizziness and drowsiness. Adverse effects can include respiratory depression?
Fentanyl
Pen G/Cefazolin
What immune globulin product is given to mother's who are RH- and postpartum their baby has a positive blood type? This helps protect mothers for any future pregnancies.
Rhogam
What high risk medication CNS depressant is used to decrease uterine contractions while simultaneously being used for fetal neurological protection? Important assessments with this med include; BP, RR, mental status, O2 stat, and deep tendon reflexes.
Magnesium Sulfate
What vasodialator is given IV for severe BP (greater than 160/110) in the OB population?
Hydralazine
What IV NSAID is given for pain management often in C/S patients? What special lab would you want to consider before giving this?
Toradol/H&H
What cervical ripening agent is used for labor induction that is inserted either vaginally or can be taken via buccal administration. Common side effects include cramping and diarrhea.
Cytotec (Misoprostol)
What med is given in a postpartum hemorrhage and is often administrated IM, but is contraindicated for patient's with high blood pressure?
Methergine
This bronchodialator is given sub Q and patients will often complain of a "racing heart." This med should be held if HR exceeds 140. Often given short term.
Terbutaline
What high risk medication CNS depressant is given in women with pre-eclampsia that helps reduce the risk of seizures but does not affect blood pressure?
Magnesium sulfate
Which three common opioids are given for moderate to severe pain? Special consideration should be to monitor overall Tylenol intake with these.
Percocet/Norco/Tylenol #3
What high risk induction med is given IV and can be titrated to the patient's contraction pattern and labor progression?
Pitocin (Oxytocin)
What vitamin is given to neonates IM after delivery that helps protect them clot and helps prevent severe bleeding. Required if parents desire a circumcision.
What corticosteroid is commonly given to help with infant lung maturity for PTL mothers who are <36 weeks? Often given in 2 doses IM, 24 hours apart.
Betamethasone
What is the antidote for magnesium sulfate toxicity?
Calcium gluconate
What IV opioid is given during labor for moderate to severe pain, and if given too late in labor process can cause respiratory depression in infants?
Fentanyl
What cepholosprin antibiotic is given right before a C/S, given IM or IV. Common side effects include; diarrhea, nausea, vomiting, and pain at IV site.
Ancef
What eye ointment is given to neonates to help prevent neonatal blindness that can be caused by bacteria from common STIs.
Erythromycin
What NSAID is used short term for PTL? Adverse side effect if used too long in mother's is that it can cause premature closure of the PDA in the infant?
Indomethacin
What are some common complaints patients with severe blood pressure might experience?
High BP (>160/110), anxiety, SOB, right upper quadrant pain, headache, or visual changes
What opioid agonist is given via inhalation for pain during labor and is often patient controlled?
Nitrous Oxide
What prostaglandin is used for labor induction and is inserted vaginally to ripen the cervix. Common side effects include; cramping and diarrhea. When placed vaginally can remain for up to 12 hours.
Cervadil
What neonatal medication is given IM after delivery and is the first of a three series vaccination. Separate consent is sometimes needed for this. It is a dead inactivated vaccine.
Hepatitis B