Labor & Delivery Meds - Armstrong

Front 1

Trade: Ambien
Generic: Zolpidem

Back 1

Class: nonbarbituate sedative
Action: sedation/relaxation
Use: short term tx of insomnia
SE: AM drowsiness, HA, dizziness, nausea

Front 2

Trade: N/A
Generic: Ampicillin

Back 2

Class: Antibiotic
Action: Bacteriocidal
Use: GBS + mom & neonate
SE: N, V, D, vaginitis

Front 3

Trade: Celestone
Generic: Betamethasone

Back 3

Class: Corticosteroid
Action: Accelerates fetal lung maturity
Use: Prevention of RDS in fetus (preterm usually)
SE: Mom - Hyperglycemia, pulmonary edema BABY - hypoglycemia, risk for sepsis

Front 4

Trade: N/A
Generic: Calcium Gluconate

Back 4

Class: Electrolyte
Action: MgSO4 antagonist
Use: MgSO4 toxicity
SE: decr reflexes, oliguria, confusion, decr resp, circ collapse, N, V, blurred vision, slurred speech

Front 5

Trade: Cervadil
Generic: Dinoprostone

Back 5

Class: Prostoglandin
Action: Ripens Cervix & stimulates smooth muscle contraction
Use: labor induction
SE: uterine hyperstimulation, fetal distress

Front 6

Trade: Cleocin
Generic: Clindamycin

Back 6

Class: Antibiotic
Action: Bacteriocidal
Use: GBS+ Mom & neonate
SE: N, V, D, pseudomembranous colitis

Front 7

Trade: Colace
Generic: Docusate

Back 7

Class: Laxative
Action: Stool Softener
Use: promote bowel evacuation postpartum
SE: Ab cramping

Front 8

Trade: Cytotec
Generic: Misoprostol

*Off label Use in OB

Back 8

Class: Prostaglandin
Action: Ripens Cervix and stimulates smooth muscle contraction
Use: labor induction
SE: uterine hyperstimulation, fetal and maternal death, fever, HTN

Front 9

Trade: Demerol
Generic: Meperidine

Back 9

Class: Narcotic Analgesic
Action: Pain control
Use: Moderate postpartum pain
SE: N, V, dizziness, sedation

Front 10

Trade: Motrin
Generic: Ibuprofen

Back 10

Class: NSAID
Action: antiinflammatory, antipyretic, analgesic
Use: mild to mod postpartum pain.
SE: HA, dizziness, N, constipation

Front 11

Trade: Hemabate
Generic: Carboplast

Back 11

Class: Oxytocic & Prostaglandin
Action: smooth muscle stimulant, vasoconstrictor
Use: tx of uterine atony & hemorrhage
SE: HA, flushing, bradycardia, bronchospasm, wheezing

Front 12

Trade: Normodyne, Trandate
Generic: Labetalol

Back 12

Class: A & B adrenergic blocker; antihypertensive
Action: Block A1, b1, b2 receptors to lower BP
Use: Hypertension
SE: dizziness, vertigo, tinnitus, fatique, gastric pain, constipation, N,V,D, bronchospasm, dyspnea

Front 13

Trade: MgSO4
Generic: Magnesium Sulfate

Back 13

Class: Electrolyte/anticonvulsant
Action: CNS depressant
Use: PIH, prevention of preterm labor
SE: weakness, dizziness, hypotnsn, low reflexes, hypothermia, flushing, sweating, circ collapse.

Front 14

Trade: Methergine
Generic: Methylergonovine

Back 14

Class: Oxytocic, Ergot alkaloid
Action:Smooth muscle stim; vasoconstrictor
Use: tx of uterine atony, hemorrhage, and subinvolution
SE: Dizziness, HA, N, transient HT, ab cramps.

Front 15

Trade: Narcan
Generic: Naloxone

Back 15

Class: narcotic antagonist
Action: reverses resp depression caused by narcotics
Use: lowers resp for mom and baby after narcotic during labor.
SE: can cause withdrawal syndrom in neonates of drug addicted mothers. Do not give.

Front 16

Trade: Nubain
Generic: Nalbuphine

Back 16

Class: narcotic analgesic
Action: pain control
Use: moderate to severe labor pain
SE: Sedation, clamminess, HA, dizziness, vertigo, dry mouth, urticaria

Front 17

Trade: Penicillin G
Generic:

Back 17

Class: Antibiotic
Action: Bacteriocidal via cell wall synthesis inhibition
Use: GBS+ mom & neonate
SE: Chills, fever, rash, anaphylaxis

Front 18

Trade: Phenergan
Generic: Promethazine

Back 18

Class: Antiemetic
Action: Dec or elim nausea
Use: N & V assoc w/ L&D
SE: dizziness, drowsiness, urinary frequency

Front 19

Trade: Pitocin
Generic: Oxytocin

Back 19

Class: Oxytocic, synthetic hormone
Action: stim contraction of smooth uterine muscle
Use: labor induction, improve labor contraction to achieve vag delivery
SE: N, V, cardiac arrythmias, fetal bradycardia, uterine hyperstimulation, H2O intoxication

Front 20

Trade: Procardia
Generic: Nifedipine

*Off label OB use

Back 20

Class: Calcium Channel Blocker/ Tocolytic
Action: Uterine smooth muscle relaxation
Use: prevent preterm labor
SE: Hypotension, Dizziness

Front 21

Trade: Rhogam
Generic:

Back 21

Class: vaccine
Action: prevent hemolytic disease of the newborn
Use: Give to Rh- mother and neonate Rh+
SE: Pain and soreness at injection site

Front 22

Trade: Stadol
Generic: Butorphanol

Back 22

Class: Narcotic analgesic
Action: pain control
Use: mod to severe labor pain
SE: maternal & fetal resp depression

Front 23

Trade: Terbutaline
Generic: Brethine

*Off label OB Use - Tocolytic

Back 23

Class: Beta-adrenergic recept
Action: Uterine smooth muscle relaxant
Use: prevention of preterm labor
SE: N, cardiac arrythmias, resp distress

Front 24

Trade: Tylenol 3
Generic: Acetaminophen & Codeine combo

Back 24

Class: Narcotic analgesic / antipyretic
Action: pain control
Use: mild to mod postpartum pain
SE: N, V, dizziness, sedation

Front 25

Trade: Vicodin
Generic: Hydrocodone & Acetaminophen combo

Back 25

Class: narcotic analgesic
Action: pain control
Use: mild to mod postpartum pain
SE: sedation, dizziness, vertigo, dry mouth, lethargy, confusion

Front 26

Trade: Vitamin K
Generic: aquamephyton

Back 26

Class: Fat Soluble Vitamin
Action: Prevent/tx of hemorrhagic disease of the newborn.
Use: Given at birth to all neonates.
SE: Bleeding, ecchymoses

Front 27

Trade: Zofran
Generic: Odansetron

Back 27

Class: antiemetic/CNS agent
Action: blocks seratonin, acts on vagal nerve and chemoreceptor trigger zone
Use: prevention of N,V, & TX of postop N, V.
SE: Anxiety, dizziness, somnolence, constipation, diarrhea