Where can i get info (online) about Meds given during L/D???

[SerenityR.N., BSN, RN]

Hi

I am doing my OB rotation and have a caste study to do. Any info on drugs would be helpful.

Thanks

Cina

[SmilingBluEyes]

I had a thread here addressing that just a week or two ago. Will try and pull it up for you...

[SmilingBluEyes]

Here are the drugs we use intra-partum in our Department:

Well it varies by hospital/institution, but for post meds, we use:

Morphine in a PCA (patient-controlled anesthesia pump)

Fentanyl in PCA (if patient allergic or can't tolerate morphine)

Toradol, IM or IV for pain control

Motrin for post op pain control once mom is not using toradol

Percoset for post op pain control, once no longer on PCA

Vicodin, post op pain control, if unable to use Percoset

Tylenol #3 for post op pain control

Other meds:

Pitocin usually in IV for post-op use

Hemabate for post op hemorrhage

Methergine for post op Hemorrhage

Cytotec for post op hemorrhage

MMR vaccine for moms not immune to Rubella

RhoGAM for selected Rh negative moms

For some patients, intraoperative antibiotics, such as Keflex or Cefotan

Intraoperative anesthesia meds such as fentanyl, lidocaine, marcaine, etc---ask about these, they vary

Narcan---if needed to reverse narcotic overdose

Nubain or Benedryl to control post-op anesthesia-related itching

Common Baby meds:

vitamin K

Erythromycin eye ointment

Hepatitis B vaccine

Hepatitis Immune Globulin (if mom Hep B positive or high risk)

There are others; these are just what comes to mind. You will just need to look them up in your drug manual or drug card deck for specific doses, frequencies, etc. as required by your professors.

[SerenityR.N., BSN, RN]

Thank you so much. This really helped.

[SmilingBluEyes]

sorry it took so long for me to help you......been on and off here lately. Glad it was of use! Welcome to our forum!

[SmilingBluEyes]

I forgot to mention:

During labor, we use:

Pitocin, titrated for labor induction and/or augmentation

Cytotec intralady partslly for cervical ripening for labor

Antibiotics, primarily ampicillin, if patient is Group Beta Strep positive---to prevent transmission to her fetus, which is not able to fight GBS infection.

Nubain 5-20 mg IVP q 1-4 hours for pain control or

Stadol, 1-2 mg IVP q1-2 hours

[epiphany]

Here's some more I can think of:

Some tocolytics:

-terbutaline for hyperstimulation, especially with pit.

-magnesium sulfate, mostly for PIH,

-Calcium gluconate for mag toxicity

-nifedipine, unlabeled use for preterm labor.

Docusate for postop constipation.

Zantac for indigestion common in pregnancy

Lidocaine, common for local anesthesia for suturing.

Duramorph, long acting morphine for post c/s pain.

Bipuvacaine, Epinephine, sufentanil as epidural

Versed and Ketamine for general anesthesia.

[SerenityR.N., BSN, RN]

Thank you guys so much for this info!