OB medication dosage help

[t2bn]

Whew, I figured out how to post a new message. Applying those critical thinking skills. This is a great site. I stumbled upon it last night researching for OB medications. The web can be wonderful and so frustrating at the same time! Anyway, I'm stumped. I need to complete my "common OB medications" and I can't seem to find dosages, routes, and times for medications such as MOM and docusate sodium,(antepartum) morphine, dilaudid,mefoxin, postpartum. They are not listed in the drug and maternal newborn text and spent forever last night looking on the web. Any suggestions would be greatly appreciated. This site is fabulous, wish I found it last year.

[Daytonite, BSN, RN]

here is that list of ob medications that you are looking for:

http://www.brooksidepress.org/products/military_obgyn/pharmacy/medications.htm - a huge list of medications you can link to for information. contains a lot of commonly used ob/gyn medications. from a military source for ob/gyn

it is part of this larger site which also has ob information and procedures on it, so you might want to bookmark it also:

http://www.brooksidepress.org/products/military_obgyn/home.htm includes links to the complete online textbook, laboratory tests commonly ordered in ob/gyn, medications commonly used in ob/gyn, ultrasound and x-ray used in ob/gyn, a large number of useful clinical forms you can download and print, and access to procedure videos that include a lady partsl delivery, episiotomy, circumcision, pelvic exam, pap smear and much more.

http://www.brooksidepress.org/products/military_obgyn/procedures/procedures.htm - military obstetrics & gynecology procedures.

here are other ob links that i have:

http://complab.nymc.edu/obgyn/obgyn.htm - list of links of lectures, forms and tutorials on a variety of ob subjects from new york medical college

http://complab.nymc.edu/obgyn/labor%20-%20normal%20and%20abnormal.pdf - this is a slide slow presentation on normal and abnormal labor from the new york medical college. some very nice photographs and drawings to illustrate points.

http://www.brooksidepress.org/products/surgical_emergencies_in_obgyn/surgical_emergencies_web.htm - index page of links in the online textbook of surgical emergencies in obstetrics & gynecology

http://www.nlm.nih.gov/medlineplus/tutorials/lady partslbirth/htm/index.htm - "lady partsl birth" an interactive slide show. also includes a picture and short explanation about c-section.

http://www.who.int/reproductive-health/impac/images_c/normal2.gif and

http://www.med.umich.edu/1libr/wha/labor.gif - good pictures of cervical effacements and dilatation during labor

http://www.emedicine.com/emerg/obstetrics_and_gynecology.htm - listing of emedicines topics on obstetrics and gynecology

http://library.med.utah.edu/hart/ - "blue baby". diagnosing the cause of cyanosis in a newborn. by the department of pediatrics, university of arkansas for medical sciences. this is an interactive case study of a newborn with cyanosis. you get to play the doctor and diagnose the baby's condition. you can get help along the way.

just a word of caution about studying ob. . .if you have had children, cool. however, don't assume that it will help you with ob other than the personal experience you had. the trick with ob is to first know what normal labor and lady partsl birth is supposed to be. the remainder of the subject (and that encompasses most of what is in all the ob textbooks) is what goes haywire. isn't that an eye-opener!

i have a specific care plan book for ob called maternal/newborn plans of care: guidelines for individualizing care by marilynn e. doenges and mary frances moorhouse that i use for helping students with ob care plans. i noticed when i was looking at care plan books on barnes and nobels' website the other day that there is another author who also has a book of ob care plans out now. i wrote about what was specifically in this doenges book on this thread back in june: https://allnurses.com/forums/f50/ob-nursing-dx-book-163703.html?highlight=doenges good luck with your ob semester/quarter!

[VickyRN, MSN, DNP, RN]

newish breastfeeding & medications resource - lactmed

drugs and lactation database (lactmed) - a peer-reviewed and fully referenced database of drugs to which breastfeeding mothers may be exposed. among the data included are maternal and infant levels of drugs, possible effects on breastfed infants and on lactation, and alternate drugs to consider.

the national library of medicine just released a new database, lactmed, on drugs and breastfeeding. it is part of toxnet and can be searched together with all the toxnet database or separately. it is a web-based collection of resources covering toxicology, chemical safety, and environmental health. geared to the healthcare practitioner and nursing mother, lactmed contains over 450 drug records. it includes information such as maternal levels in breast milk, infant levels in blood, potential effects in breastfeeding infants and on lactation itself, the american academy of pediatrics category indicating the level of compatibility of the drug with breastfeeding, and alternate drugs to consider.

http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?lact

[t2bn]

Many thanks!! I agree with your advice about my personal labor and delivery experiences, that was 20+ years ago and everything is different. It's a miracle my babies survived :), everything is so different now. Thanks again for all the info