Action: Binds with opioid receptors within CNS, inhibiting ascending pain pathways. Therapeutic Effect: Alters pain perception, emotional response to pain.

Dosage: Oral: 20 mg/mL, 10 mg/5 mL, 20 mg/ 5 mL Tablets15, 30 mg

ER Tablets 30,45,60, 75,90,120 mg IV 0.5 mg/mL, 1 mg/mL

IM + SQ 2 mg/mL, 4 mg/mL, 5 mg/mL, 10 mg/mL, 15 mg/mL, 25 mg/mL, 50 mg/mL

Epidural 0.5 mg/mL, 1 mg/mL Rectal 5,10,20, 30 mg

Route: Oral, Tablets, ER Tablets, IV (slow), IM, epidural, SQ, Rectal (chill 30 min)

Side Effects: -Sedation, decrease BP, diaphoresis, facial flushing, constipation, dizziness, drowsiness, N/V ADVERSE: respiratory depression, skeletal muscle flaccidity, cold/clammy skin, cyanosis, seizures, stupor, coma

Precautions: Don’t take if allergic to morphine, asthma, GI obstruction, paralytic ileus, hepatic/renal impairment, severe respiratory depression, Interacts with alcohol and CNS depressants, MAOIs

Purpose: Relief of pain, Analgesia during labor, Dyspnea from pulmonary edema, Pain due to MI

OB purpose: -Epidural, Respiratory depression

Trade name: Pitocin, Syntocinon

Action: -Activates receptors that trigger increase in intracellular calcium levels

-Increase prostaglandin production

-Stimulates uterine contraction

Dosage: IV 10 units/mL, 30 units/mL

Intrapartal dose:

0.5-1 milliunit/min

Postpartum dose:

10-40 units in 1000 mL IV

IM

10 units total after delivery

Route: IV, IM

Side Effects: Tachycardia, premature ventricular contraction, hypotension, N/V

Rare: Lacrimation, nasal irritation, rhinnorrhea, uterine bleeding/c contraction

Adverse: Hypertonicity

Precautions: Used only for medical reason, Do not use with caudal block anesthetics, vasopressors

Purpose:Induction of labor, Control postpartum hemmorhage

OB Purpose: Contracts uterus during birthing, Milk production

Nalbuphine Hydrochloride (Nubain)

Action: Binds with opioid receptors in CNS, inhibits ascending pain pathways

Dosage: Injection

10 mg/mL

20 mg/mL

IV

10mg over 3-5 minutes

IM + SQ

10, 20 mg/mL

MAX DOSE: 20 mg/dose, 160 mg/day

Route: Injection, IV, IM

Side Effects: Sedation, diaphoresis, cold/clammy skin, N/V, dizziness, vertigo, dry mouth, headache RARE: Restlessness, emotional lability, parasthesia, flushing, paradoxical rxn

Precautions: Readily crosses placenta, Do not breastfeed, Interaction with alcohol and other CNS depressants

Purpose: Alters pain perception, emotional response to pain

OB Purpose: Obstetric analgesia, Relief of pain, Preop analgesia

Methylergonovine Maleate

(Methergine)

Action: Increases tone, rate, amplitude of contraction of uterine smooth muscle

Dosage: Injection 0.2 mg/L Tablet 0.2 mg

Route: Injection, Tablet

Side Effects: N/V, uterine cramping, abdominal pain, diarrhea, dizzy, diaphoresis, tinnitus, bradycardia, chest pain ADVERSE: Hypertensive episode result in CVA, arrhythmias, seizures

Precautions: -Hypersensitivity, hypertension, pregnancy, toxemia

Caution: renal/ hepatic impairment, sepsis, protease inhibitors, cardiac issues

Purpose: Shortens third stage of labor, Reduces blood loss and possible complications

OB Purpose: Management of uterine atony, hemmorhage, and subinvolution of uterus after placenta delivery

Misoprostol (cytotec)

Action: Replaces protective prostaglandins consumed with prostaglandin- inhibiting therapies (NSAIDs). Induces uterine contractions

Dosage: Tab 100, 200 mcg

Route: Tablets

Side Effects: Abdominal pain, diarrhea, nausea, flatulence, dyspepsia, headache, vomit, constipation ADVERSE: Overdose

Precautions: Category X pregnancy, Renal impairment, cardiovascular disease, elderly, Antacids increase concentration

Purpose: Prevention of NSAID-induced gastric ulcers, medical termination of pregnancy 49 days or less

-Cervical ripening, labor induction, postpartum hemmorhage, treat incomplete abortion

OB Purpose: Termination of labor

Prostaglandin Gel (prepidil, cervadil)

Action: Relaxes smooth muscle at the cervix

Dosage: Gel 0.5 mg/ 3 g syringe

 Route: Endocervical Gel

Side Effects: N/V, diarrhea, headache, chills, urticaria, bradycardia, OverdoseP

Precautions:Cardiac, hepatic, pulmonary, renal disease

Purpose: Promote cervical ripening in pregnant women at or near term to induce, Stimulates myometrial contractions in gravid uterus

OB Purpose: Induces labor

Naloxone (Narcan)

Action: Displaces opioids at receptor sites in CNS

Dosage: Injection 0.4 mg/mL, 1mg/mL Autoinjector 0.4 mg/ 0.4 mL Nasal 4 mg/ 0.1 mL IV

0.4 mg/mL

Route: Injection, Nasal spray, Autoinjector, IV

Side Effects: ADVERSE, Agitation, N/V, tremors, increased BP, tachycardia

Precautions:Cardiac/ pulmonary disease. Adverse cardiovascular effects

Purpose: Antidote for opioid  overdoses, Increase respirator rate, BP, reverse sedation

OB Purpose: Treat overdose of opioids

Lidocaine, 1%, 2% (Xylocaine)

Action: Inhibits conduction of nerve impulses

Dosage: Cream 4% Infusion premix 0.4%, 0.8% Injection 0.5%, 1%, 2% Jelly topical 2%

Solution topical 4% Solution viscous 2% Transdermal 5%

Route: Cream, topical, infusion premix, injection, jelly (topical), Topical, viscous, transdermal

Side Effects: CNS effects, IM: pain, Topical: burning, stinging, tender. Rare: drowsy, dizzy, disoriented, light-headed, tremors, apprehension, euphoria, numb, diplopia, tinnitus, nausea

Precautions: Crosses placenta, in breast milk

Purpose: Temporary loss of feeling/sensation, Antiarrhythmic- inhibits ventricular arrhythmias

OB Purpose: Local anesthetic for pain. Nerve blocker for childbirth

Nifedipine

(Procardia)

Action: Inhibits calcium ion  movement across cell membranes, depressing contraction of cardiac, vascular smooth muscle

Dosage: Capsules 10 mg, 20 mg Tab ER 30,60,90 mg

Route: Capsules, tablets, ER

Side Effects: Peripheral edema, headache, flushed skin, dizziness, nausea, shaking, muscle cramps pain, drowsy, palpitations, nasal congestion, cough, dyspnea, wheezing

RARE: Hypotension, rash, pruritic, urticaria, constipation, abdominal discomfort, flatulence, sexual dysfunction

Precautions: Strong CYP3A4 inducers. Do not eat with grapefruit

Purpose: Increase HR, myocardial o2 delivery, cardiac output

OB Purpose: Relax uterine contractions and postpone pre-term birth

Hydralazine hydrochloride

(Apresoline)

Action: Direct vasodilation effects on arterioles

Dosage: Injection 20 mg/mL Tab 10,25,50,100 mg

Route: Injection, tablets

Side Effects: Headache, anorexia, N/V, palpitations, tachycardia, angina pectoris

RARE Constipation, ileus, edema, paresthesia, dizzy, muscle cramps, anxietyhypersensitivity rxn, nasal congestion, flushing, conjuctivitis

Precautions: Cardiac diseases. Drug crosses placenta

Purpose: Decreases BP, systemic vascular resistance

Labetalol hydrochloride (Trandate)

Action: Blocks aplha1, beta1, beta2 adrenergic receptor sites

Dosage: Injection 5 mg/mL Tablet 100,200,300 mg

Route: Injection, tab

Side Effects: Drowsiness, dizziness, excessive fatigue. Occasional: dyspnea, peripheral edema, depression, anxiety, constipation, diarrhea, nasal congestion, weakness, diminished sex function, transient scalp tingling, insomnia, N/V, abdominal discomfort

Precautions: Renal functioning, monitor for hypotension

Purpose: Slows sinus heart rate, decreases peripheral cascular resistance, BP. Management of hypertension

OB Purpose: Gestational hypertension

Calcium gluconate

Action: Function, integrity of nervous, muscular, skeletal systems. Role in cardiac/renal function, resp, blood coagulation, cell membrane, capillary permeability 

Dosage: Injection 10% 100 mg/mL 1 g=93 mg calcium

Route: Injection

Side Effects: Chalky taste, constipation, headache, dry mouth, irritability, decreased appetite, metallic taste, fatigue, weakness, depression

Precautions: Renal functioning, hypokalemia, concurrent use with digoxin

Purpose: Replaces calcium in deficiency, controls hyperphosphatemia, relieves heartburn and indigestion

OB Purpose:

Magnesium Sulfate

Action: Blocks neuromuscular transmission, amount of ACH released at motor end plate

Dosage: Infusion 10,20,40,80 mg/mL Injection 125, 500 mg/mL

Route: Infusion, injection

Side Effects: Reduced respiratory rate,  decreased reflexes, hypotension, flushing, decreased HR

Precautions: Children under 6, antacids, renal impairment

Purpose: Asthma exacerbation, Treatment/prevention of hypomagnesemia; prevention and treatment of seizures in severe preeclampsia or eclampsia; pediatric acute nephritis, treatment of arrhythmias due to hypomagnesemia, Antidote is calcium gluconate

OB Purpose: Seizure control

Terbutaline

(brethine)

Action: Stimulates beta2 adrenergic receptor.Relaxes uterine, bronchial smooth muscle

Dosage: Injection 1 mg/mL Tab 2.5,5 mg

Route: Injection,tab

Side Effects: Tremor, anxiety, drowsy, headache, N, heartburn, dizzy RARE- Flushing, asthenia, oropharyngeal dryness, irritation

Precautions: Cardiac impair, diabetes mellitus, glaucoma, hypertension, hyperthyroidism, seizures

Purpose: Inhibits uterine contractions. Relieves bronchospasms, reduces airway resistance

OB Purpose: Inhibits uterine contractions

Betamethasone

(celestone)

Action: Controls rate of protein synthesis, depresses migration of polymorphonuclear leukocytes/fibroblasts, reverses capillary permeability, prevents/controls inflammation

Dosage: Cream 0.05% Foam 0.12% Gel 0.05% Injection 3 mg/mL Lotion 0.05% Ointment 0.05%, 0.1% Topical spray 0.05%

Route: Cream, foam, gel, injection, lotion, ointment, topical spray

Side Effects: Increased appetite, abdominal distention, nervousness, insomnia, false sense of well-being

Precautions: Hypothyroidism, hepatic.renal, cardiovascular disease, diabetes, glaucoma, cataracts, myasthenia gravis, osteoporosis/seizures, GI, MI, elderly

Purpose: Decreases tissue response to inflammatory process

OB Purpose: Speed up fetus lung development    

Penicillin

Action: Antibiotics used to treat bacterial infections

Dosage: Group B dose 5 million units IV initial, then 2.5-3 million units every 4H until delivery

Route: Oral, suspension

Side Effects: Nausea, vomiting, upset stomach, headache, thrush

Precautions: Hypersensitivity, kidney problems

Purpose: Treat bacterial infections

OB Purpose: Safe during pregnancy, used to treat bacterial infections

Ampicillin

Action: Inhibits cell wall synthesis in susceptible microorganisms

Dosage: Capsule 250,500 mg Injection 125,250,500 mg 1, 2 g Oral suspension 125 mg/5 mL 250 mg/ 5 mL Group B dose 2 g IV, then 1 g IV every 4 hours until delivery

Route: Capsule, injection powder, oral suspension powder

Side Effects: Pain at injection site, GI, oral or vaginal candidiasis, rash, urticaria, phlebitis, thrombophlebitis, headache RARE- Dizzy, seizures

Precautions: Allergies, renal impair, asthma, mono

Purpose: Bactericidal in susceptible microorganisms

OB Purpose: Treat infection (gynecological infections)

Clindamycin

Action: Inhibits protein synthesis of bacterial cell wall by binding to bacterial ribosome receptor sites

Dosage: Capsule 75,150,300 mg Cream vag 2% Gel Topical 1% Infusion premix 300 mg/50 mL 600 mg/ 50 mL 900 mg/ 50 mL Injection 150 mg/mL Lotion 1% Oral solution 75 mg/5 mL Suppositories 100 mg Swabs 1% Group B dose 900 mg IV every 8H until delivery

Route: Capsules, Cream (vaginal), Gel (topical), Infusion premix, injection, lotion, oral solution, suppositories (vaginal), swabs (topical)

Side Effects: Systemic: Abdominal pain, nausea, vomiting, diarrhea. Topical: Dry, scaly skin. Vaginal: Vaginitis, pruritus. Occasional: Systemic: Phlebitis; pain, induration at IM injection site, allergic reaction, urticaria, pruritus. Topical: Contact dermatitis, abdominal pain, mild diarrhea, burning, stinging. Vaginal: Headach, dizziness, nausea, vomiting, abdominal pain. Rare: Vaginal: Hypersensitivity reaction.

Precations: Severe hepatic dysfunction, history of GI disease (colitis)

Purpose: Bacteriostatic or bacteriocidal

OB Purpose: Treatment of bacterial infections

Phytonadione Vitamin K (AquaMephyton)

Action: Man-made form of Vitamin K that allows blood to clot

Dosage: 41.5 and 52 mL/kg for the 0.2% and 1.0% concentrations

Route: SubQ Injection

Side Effects: Change in sense of taste, warmth or redness in face, neck, upper chest, arms

Precautions: Pregnant or breastfeeding, blood clots, liver disease, hx of stroke or embolism, allergy to vitamin K, drug interactions

Purpose: Helps blood clot

OB Purpose: Not for pregnant women or those who are breastfeeding

 Erythromycin Opthalmic ointment

Action: Introduced topically into eye, to prevent eye infections in newborns

Dosage: 30-50 mg/day

Route: Topically

Side Effects: Stinging of eye, burning, eye irritation, redness

Precautions: Contact lenses weigh at least 15 mins before put back in, Other eye meds

Purpose: To prevent eye diseases like conjunctivitis

OB Purpose: To prevent eye diseases in newborns

 Gentamicin

Action: Irreversibly binds to protein of bacterial ribosome.

Dosage: IM, IV: adults, elderly 1-2.5 mg/kg/ dose q8-12h. (once daily): 4-7 mg/kg/dose q24h. Children 5 years and older: 2-2.5 mg/kg/dose q8h. Infants, children younger than 5 years: 2.5 mg/kg/dose q8h. Neonates greater than 2 kg PNA 8-28 days or less: 4 mg/kg/dose q24h. Infants (1-2 kg): PNA 8-28 days: 4-5 mg/kg/dose q24h-q48h; PNA 7 days or less: 5 mg/kg/dose q48h. Infants less than 1-2 kg: PNA 15-28 days 4-5 mg/kg/dose q24-48h; PNA 14 days or less: 5 mg/kg/dose q48h.

Ophthalmic: ointment: adults, elderly ½ - inch strip to conjunctival sac 2-4 times/day. Solution: adults, elderly, children 1-2 drops q2-4h up to 2 drops/her. 

Route: IM, IV, ophthalmic

Side Effects: IM: pain, induration at injection site. IV: phlebitis, thrombophlebitis, hypersensitivity reactions (fever, pruritus, rash, urticaria). Ophthalmic: burning, tearing, itching, blurred vision.

Precations: Elderly, neonates due to renal insufficiency or immaturity, neuromuscular disorders(potential for respiratory suppression), vestibular or cochlear impairment, renal impairment, hypocalcemia, myasthenia gravis. Pediatric patients on extracorporeal membrane oxygenation 

Purpose: Treatment of infections susceptible to pseudomonas, proteus serratia, and other gram-negative organisms and gram-positive staphylococcus including skin/skin structure, bone, joint, respiratory tract, intra-abdominal, complicated urinary tract, acute pelvic infections; burns; septicemia; meningitis.

OB Purpose: Bacterial infections for mothers and newborns.

Ampicillin

Action: Inhibits cell wall synthesis in susceptible microorganisms

 Dosage: PO: Adults, elderly: 250-500 mg q6h. Children: 50-100 mg/kg/day in divided doses q6h. Maximum: 2-4 g/day. IV, IM: Adults, elderly: 1-2 g q4-6h or 50-250 mg/kg/day in divided doses. Maximum: 12g/day. Children: 25-200 mg/kg/day in divided doses q6h. Maximum: 12g/day. Neonates: 50 mg/kg/dose q6-12h.

Route: PO, IV, and IM

Side Effects: Pain at IM injection site, GI disturbances (mild diarrhea, nausea, vomiting), oral or vaginal candidiasis.

Precations Contradictions: hypersensitivity to ampicillin or any penicillin. Infections cause by penicillinase-producing organisms. Cautions: history of allergies, esp. Cephalosporins, renal impairment, asthmatic patients, infectious mononucleosis.

Purpose: Treatment of susceptible infections to to streptococci, S. pneumoniae, staphylococci, meningococci, listeria, some klebsiella, e. Coli, H. influenzae, salmonella, shigella including GI, GU, respiratory infections, meningitis, endocarditis prophulaxis.

OB Purpose: To prevent neonatal infection during birth

Hepatitis B Vaccine

Action:Inactive form of the virus used to protect against it

Dosage: 2 or 3 doses depending on age: 5mcg, 10mcg, or 40 mcg

Route: IM

Side Effects: Soreness at site, slight fever

Precations: Severe life-threatening allergies, not feeling well at the time

Purpose: prevent hepatitis B and its consequences, including liver cancer and cirrhosis

OB Purpose: Given to baby within 24 hours after birth, followed by 2 more later

 “Tucks”

Action: Glycerin protects skin and a provides a protective barrier over hemorrhoids

Dosage: 6 times per day or after each BM

Route: Cream, pads

Side Effects: Bloody diarrhea, severe pain, bleeding, irritation around rectum. AE: alleric rxn.

Precuations: Avoid if allergic too

Purpose: Relieve rectal pain, pressure, irritation, and mild bleeding.

OB Purpose: Shrinks swollen tissue to provide relief from itching and irriatation

Americaine Spray- Dermoplast

Action: Blocks nerve signals in body for local anesthetic

Dosage: NDC 53014-376-16 28 g tube NDC 53014-376-62 2.5 g unit dose foil packs, 144 per carton

Route:Spray

Side Effects: Stinging, burning, itching, tenderness, redness, dry, white flakes

Precautions: Pregnancy, nursing mothers, adolescence

Purpose: Relieves pain of lacerations

OB Purpose: Relieves pain of lacerations

Acetaminophen/codeine (Tylenol #3)

 Action: Opioid pain medication

 Dosage:300 mg

Route: Oral

Side Effects: Drowsiness, constipation, upset stomach, blurred vision, dry mouth

Precautions: Hypersensitivity, liver disease, opioid addiction

Purpose: Relieves moderate to severe pain

OB Purpose: Not to be used during pregnancy, can help the mother with pain after birth

Ibuprofen

Action: May inhibit prostaglandin synthesis, to produce anti-inflammatory, analgesic, and antipyretic effects

Dosage: Capsules: 200 mg Injection: 800 mg/8ml sing dose vials Oral drops: 40 mg/ml, 50 mg/1.25ml Oral suspension: 40 mg/ml, 100mg/5ml Tablets: 100, 200, 300, 400, 600, 800 mg

Chewable tablets: 50, 100mg

Route: Capsule, IV, oral drops, oral suspension, tablets, chewable

Side Effects: Dizziness, headanes, nervousness, edema, fluid retention, tinnitus, abdominal pain, bloating, constipation, decreased appetite, diarrhea, dyspepsia, epigastric distress, flatulence, heartburn, nausea, non-necrotizing enterocolitis, vomiting, acute renal failure, azptemia, cystitis, hematuria, agranulocytosis, aplastic anemia, leukopenia, neutropenia, pancytopenia, thrombocytopenia, anemia, prolonged bleeding time, hypokalemia, hypoglycemia, pruritis, rash

Precautions: Patients hypersensitive to drug and those with angioedema, syndrome of nasal polyps, or bronchospastic reaction to aspirin or other NSAIDs, treatment of perioperative pain after CABG surgery, NSAIDs can increase risk of heart attack in stroke patients with or without heart disease or risk factors for it

Purpose: To reduce symptoms of arthritis, treat mild to moderate pain, reduce fever

OB Purpose: Drug can cause fetal harm and is contraindicated in pregnant women starting at 30 weeks gestation. Before 30 weeks, use only if potential benefit justifies potential risk to fetus. Drug also appears in breast milk.

 Ketorlac tromethamine (Toradol)

Action: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects

Dosage: Injection: 10 gm/ml in 1ml ampules, 15mg/ml in 1- and 2- vials, and 1ml

Tubex syringes: 30 mg/ml in 1- and 2-ml single-dose vials, 1- and 2-ml Tubex syringes, and 10ml multiple dose vials Nasal spray: 15.75 mg/spray Tablets: 10 mg

Route: PO, Injection, nasal

Side Effects: frequent : headache, nausea, cramps, dyspepsia

Precautions: Hypersensitivity to ketorolac, aspirin, or other NSAIDs. Intracranial bleeding, hemorrhagic diathesis, high risk of bleeding; concomitant use of aspirin; NSAIDs, labor and delivery, renal impairment, GI bleeding, etc.

Purpose: Analgesic, intraocular anti-inflammatory

OB Purpose: Avoid during 3rd trimester, precautioned for labor and delivery

 Hydrocodone bitarate and acetominophen (Vicodin)

Action: Opioid to relieve pain

 Dosage: 300 mg

 Route: Oral: Capsule, liquid, tablet

Side Effects: Nausea,vomiting, constipation, dizziness, mood changes

 Precautions: High risk for addiction

 Purpose:Relieve moderate to severe pain

 OB Purpose: None    

 Oxycodone/acetaminophen (percocet)

Action: Opioid to relieve pain

Doage:300 mg

Route: Oral

Side Effects: Nausea, vomiting, constipation, dizziness, mood changes

Precautions: High risk for addiction

Purpose: Relieve moderate to severe pain

OB Purpose: Only used when really crucial

Bisacodyl (Dulcolax Suppository)

Action: Stimulates intramural nerve plexi to have a direct effect on colonic smooth musculature

Dosage: 10 mg

Route: Rectal, suppository

Side Effects:Abdominal discomfort, nausea, cramps, faintness, burning of rectal mucosa, mild proctitis

Precautions: Hypersensitivity to bisacodyl, abdominal pain, appendicitis, intestinal obstruction, nausea, undiagnosed rectal bleeding, pregnancy, lactation

Purpose:Treat constipation, colonic evacuation before exams or procedures

OB Purpose: Pregnancy and lactation are contraindications

Anusol- HC Suppository

Action: Zinhibits accumulation of inflammatory cells at inflammation sites, phagocytosis, lysosomal enzyme release, synthesis, and/or release of mediators of inflammation. Reverses increased capillary permeability.

Dosage: 100mg/60 ml

Route: Rectal

Side Effects: Irritation, redness

Precautions: Hypersensitivity to hydrocortisone

Purpose: Treat hemorrhoids and itching in rectum and anus

OB Purpose: Can help mother with hemorrhoids after birth

Mylicon

Action: changing the surface tension of gas bubbles and causing collapse of foam bubbles, thus allowing easier passage of gas and preventing gas pockets in the gastrointestinal tract

Dosage: Adult and pediatric doses:  Tablet 80 mg 125 mg Capsule 125 mg 180 mg Tablet, Chewable 80 mg 125 mg Liquid, Oral  20 mg per 0.3mL Oral suspension 20 mg per 0.3mL, 40 mg per 0.6mL Strip, orally disintegrating 40 mg 62.5 mg

Route: Oral, suspension, strip

Side Effects: Loose stools

Precautions: Hypersensitivity to simethicone

Purpose: Relieves discomfort of infant gas

OB Purpose: Use caution with pregnancy, can be used for newborns to help relief with gas

Methylergonovine (Methergine)

Action: Increases tone, rate, amplitude of contraction of uterine smooth muscle

Dosage: PO: 0.2mg 3-4 times daily IM, IV: 0.2mg after birth, can repeat q2-4h as needed

Route: PO, IV, IM

Side Effects: Nausea, uterine cramping, vomiting

Precautions: Hypersensitivity to methylergonovine, hypertension, pregnancy, toxemia

Purpose: Shortens 3rd stage of labor

OB Purpose: Shortens 3rd stage of labor

Prostaglandin F2 (Hemabate)

Actions: Control blood pressure and contraction of muscles

Dosage: 250 mcg

Route: IM

Side Effects: Nausea, vomiting, diarrhea, fever, chills, flushing, cough, headache, mild pelvic pain

Precautions: Pelvic inflammatory disease, breathing disorder, heart disease, liver disease, kidney disease, hypersensitivity

Purpose: Treat severe bleeding after birth

OB Purpose: Treats severe bleeding after birth, produce abortion

Ferrour Sulfate

Action: Iron supplement

Dosage: 300 mg/5 mL; 300 mg; 160 mg; (as elemental iron) 45 mg; 525 mg; 325 mg; 195 mg; (as elemental iron) 15 mg/mL; 75 mg/0.6 mL; 90 mg/5 mL; 190 mg; 250 mg; 220 mg/5 mL; 159 mg; 324 mg; (as elemental iron) 15 mg/1.5 mL; 200 mg

Route: Oral

Side Effects: Constipation, diarrhea, cramps, upset stomach, black stool

Precautions: B12 defficiency, heavy drinking, hypersensitivity, drug interactions,

Purpose: Iron supplement

OB Purpose: Passes into breast milk, should only be taken during pregnancy when absolutely needed

 Rho (d) Immune Globulin (Rhogam)

Action: Blocks immune system from recognizing antigen

Dosage: 300 mcg

Route: IM

Side Effects:  Joint or muscle pain, headache, dizziness, fatigue, weakness, itching or rash, nausea, vomiting, diarrhea,pain at injection site

Precautions: Hypersensitivity

Purpose: Prevent an immune response to Rh positive blood in people with an Rh negative blood type.

OB Purpose: For mothers who are Rh negative and to treat idiopathic thrombocytopenic purpura (ITP) in people who are Rh positive. Maternal only, not for infant.

Rubella Vaccine

Action: Live, attenuated vaccine to prevent from Rubella virus

Dosage: 0.5ml

Route: SubQ

Side Effects: Pain at injection site, headache, nausea, vomiting, joint or muscle pain, low fever, sore throat, runny nose, numbness or tingling

Precautions:Hypersensitivity to Neomycin

Purpose: Prevents Rubella virus

OB Purpose: Mother should receive at least one month before pregnancy

Medroxyprogesterone (Depo Provera)

Action: Form of progesterone, causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus

Dosage: 400mg- 1000 mg

Route: IM

Side Effects: Abdominal pain, bloating, weight gain, nausea, vomiting, dizziness, depression, lower sex drive, irregular periods, headaches

Precautions: Breast cancer, fluid retention, vaginal bleeding, depression

Purpose: Prevents pregnancy

OB Purpose: Prevents pregnancy