N 345 Medications Not Uncommonly Used in Maternity

Note: Updated 8/2/10

Labor and Delivery:

Ambien Ampicillin Ancef Cytotec
Duramorph Epinephrine Fentanyl (IV) Hydralazine
Betamethasone Reglan Indocin Magnesium Sulfate
Marcaine Methergine Morphine (IV) Narcan
Nifedipine Nubain (IV) Phenergan (IM) Pitocin
Versed Prostin Aqua Gold (antacid) Terbutaline
Labetalol Mineral Oil Hemabate Zofran
Penicillin Cervidil Clindamycin Xylocaine 1% plain
Xylocaine with epinephrine Ephedrine Sodium citrate (Bicitra) Cefotetan
Calcium gluconate      

 

 

 

 

 

 

 

 

Postpartum:

Benadryl Demerol Dermoplast Spray DSS
Tucks Hydrocortisone Cream flu vaacine Lansinoh
Lydocaine Ointment Methergine Ibuprofen Metamusil
Senokot MOM Mylicon Norco 5/325 and 10/325
Percocet Pertussis Prenatal Vitamins Rhogam
MMR Tylenol Tylenol/codeine Toradol

 

 

 

 

 

Newborn

Ampicillin Aquamephyton Cefotaxime Erythromycin Eye Ointment
Exosurf Hep B Vaccine Gentamycin Survanta
Caffeine Sodium Bicarbonate Epinephrine  

 

 

 

Remember the 6 rights! Medication, Route, Time, Client, Dosage and Documentation

Note: For this course, you may use your drug book with these medications marked and highlighted for expedient access. You may also use electronic source such as Epocrates. You need to know the generic and brand names, the classification and use, the method of administration (i.e. po, IM), the doses and how often the medication is given (for prn also), side effects, and contraindications. Many of the medications are commonly prescribed so remember the context is related to patients in labor, postpartum and newborns. Although you do not need to memorize the medication, you must have looked them up ahead of time (which also means before the medication test!). You will be asked about all medications before you give them so you must have the information readily accessible. You are still responsible for knowing these medications even if you can't find them in your pharmacology resources. Where else might you find the information?

You need to know how to calculate IV drip rates and drug doses. You do not have to commit these calculations to memory. It seems prudent to bring a calculator and drug calculation formulas with you to clinical. However, you should have a good understanding of how to calculate medications before you actually need to do this task in the clinical area. Anxiety makes it harder to complete these with accuracy, timeliness and confidence.