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Pre Clinical Assignment

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Pre-Clinical Assignment- OB
Labor and Delivery Medication List
Drug Name Typical dose amount Route (for adult OB client) Most common side effects Expected patient response of the female PREGNANT client
Magnesium Sulfate
Pg 808 diarrhea
Pitocin
Pg 968 Induction of labor: 0.5-2 milliunits/min; increase by 1-2 milliunits/min q 15-60 mins until pattern established, then decrease dose
Postpartum Hemorrhage: 10 units infused at 20-40 milliunits/min. IV or IM (postpartum) (maternal) coma, seizures, (fetal) intracranial hemorrhage, (fetal) asphyxia, increase uterine motility, painful contractions Indications:
Induction of labor at term. Facilitation of threatened abortion. Postpartum control of bleeding after expulsion of the placenta.
Outcomes:
Onset of effective contractions. Increase in uterine tone. Reduction of postpartum bleeding.
Cytotec
Pg 870 Termination of pregnancy: 400 mcg single dose 2 days after mifepristone if abortion has not occurred.
Intravaginally: 25 mcg (1/4 of 100 mcg tablet); may repeat q 3-4 hr, if needed PO or intravaginally abdominal pain, diarrhea, miscarriage Outcomes:
Prevention of gastric ulcers in patients receiving chronic NSAID therapy. Termination of pregnancy. Cervical ripening and induction of labor.
Brethine
C5 2.5-10 mcg/min infusion; increase by 5 mcg/min q 10 min until contractions stop (not to exceed 30 mcg/min), decrease infusion rate to lowest effective amount and maintain for 4-8 hr IV nervousness, restlessness, tremor Control of preterm labor in a fetus of 20-36 week gestational age.
Betamethasone
363, 371 Prevention of respiratory distress syndrome in newborn: 12 mg daily for 2-3 days before delivery IM Depression, euphoria, hypertension, peptic ulceration, anorexia, nausea, acne, decreased wound healing, ecchymoses, fragility, hirsutism, petechiae, adrenal suppression, thromboembolism, muscle wasting,...

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