ANTEPARTUM

Medication Indication Dose Route Frequency

Methergine postpartum .2mg IM Q 2-4 hrs
(Methylergonivine) hemorrhage
.2mg/ml
Betamethasone high risk mom 12mg IM Daily x
long acting antepartum 2-3 days
corticosteroid to prevent resp before
distress syndrome delivery
in the newborn
Procardia treat htn 10-30mg po TID
Nifedipine
antihypertensive
calcium channel
blocker
Terbutaline management of 10mcg/min increasing IV infusion
Bricanyl pre-term labor by 5mcg/min q10 min. 4-8hrs
Tocolytic until contractions
stop for 30 min. then
keep at lowest effective
rate for 4-8 hrs
Magnesium Sulfate Tx of eclampsia 4-5g by iv infusion, IV/IM see dose
lyte replacement or pre-term labor concurrent w/ up to 5g
IM in each buttock,
then 4-5g im q4 or 4g
by IV infusion followed
by 1-2g/hr cont.IV

INTRAPARTUM
Medication Indication Dose Route Frequency
Pitocin induce labor 0.5-2 milliunits/min, inc IV see dose
oxytocin increase contractions by 1-2 milliunits/min
hormone strength q15-60 min. until pattern
control bleeding established (5-6 milliunits
post placenta delivery / min usually)
Fentanyl supplement to 50-100mcg IV
opioid analgesic regional anesthesia
Stadol analgesia during 0.5-2mg IV Q2-4 hrs
Butorphanol labor
opioid analgesic
Nubain analgesia during 10mg IM, IV q3-6 hrs
Nalbuphine labor SQ
opioid analgesic
Side Effects Contraindications
N,V HTN if given to HTN, Heart disease
fast or if pt has HTN

Thromboembolism Active infection

peptic ulcer, HTN Lactation
N/V

Arrhythmias, CHF sick sinus syndrome

Stevens-Johnson 2nd or 3rd degree AV
syndrome block, bp <90
not w/ grapefruit juice

paradoxical Sensitivity to
bronchospasm adranergic amines.

diarrhea active labor,

hypermagnesemia
hypocalcemia

Side Effects Contraindications

coma, seizure, c-section anticipated
intracranial hemorrhage
asphyxia

apnea, laryngospasm intolerance to med

CNS depressant
confusion, sedation opiod addicts
nausea, sweating,
dysphoria
HA, sedation, N,V opiod addicts
dry mouth, sweating