Tremors Nervousness Palpitations Hypotension

1. Confusion 2. Sedation 3. Headache

OB Medications Flashcards by Luis S

What is Pitocin used for?

(3) points

Induces or stimulates labor
Increases uterine contractions
Decreases postpartum bleeding

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Contraindication for Pitocin?

Cervix not being “ripened”

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Any side effect for pitocin?

Itracranial hemorrhage (vasodilation)
Painful contractions
Uterine rupture

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Pitocin is the synthetic version of what hormone in our body?

Oxytocin

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What is methergine used for?

Stimulates uterine contractions
most commonly used to prevent and treat post partial hemorrhage

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Which medication is most commonly used to prevent and treat PPH?

Methergine

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What S/E can you expect w/ methergine

There are two, rel. to CV

HTN
Stroke

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What safety precaution should you be aware of before giving methergine?

Do not give to HTN clients and monitor BP

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What is magnesium sulfate used for?

Used to prevent seizures d/t worseing preeclampsia

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Arrhythmias
Decreased calcium
Decreased deep tendon reflexes
Decreased RR
Decreased UO

Are all S/E of which medication

Magnesium sulfate

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What is turbetaline used for?

Supresses preterm labor

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Terbatuline is considered a tocolytic, why?

Because it decreases uterine contractions

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S/E of terbutaline?

Tremors
Nervousness
Palpitations
Hypotension

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Any education for terbutaline?

You have to monitor HR & BP

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Terbutaline is what type of agonist?

Beta 2 agonist

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What is fentanyl used for in pregnancy?

Pain control

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What are 3 SE for fentanyl?

Respiratory depression
Constipation
Low HR + RR

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What is the antidote for Fentanyl?

Narcan/Nalaxone

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A pregnant woman has morning sickness, what med do you give her?

Phenergan

Also called promethazine

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3 S/E for phenergan

Confusion
Sedation
Headache

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Education for phenergan?

Slow IV push and monitor RR

Due to its sedative effects

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What is Stadol?

Opioid used to relieve pain during labor

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S/E of Stadol?

Resp. depression

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What would you want to monitor with Stadol?

Respiratory Rate

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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 ## Footnote 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

OB Medications Flashcards

(77 cards)