Common OB & Neonatal Medications (1).docx - Commonly u2013...

Commonly – Used Medications in OB/Newborn
Medication Indication Intended
Effect
Dose/Push Rate Side
Effects
Adverse
Effects
Terbutaline Management of
reversible airway
disease due to asthma
or COPD; inhalation
and sub-
cut used for short-
term control and oral
agent as long-term
control.
results in the
accumulation of
cyclic adenosine
monophosphate
Management of
preterm labor
(tocolytic) (the FDA
has recommended
that injectable
terbutaline should not
be used in pregnancy
for the prevention or
prolonged treatment [
48 – 72 hr] of preterm
labor in either the
inpatient or outpatient
settings because of
the potential for
serious maternal heart
problems and death;
PO
Sub cu
Hypertension;
Hyperthyroidism
; Diabetes;
Glaucoma
nervousness
restlessness
,tremor Pulmonary
edema. headache,
insomnia. hypertension
Magnesium Sulfate Treatment/prevention
of hypomagnesemia.
Treatment of
hypertension.
Prevention of
seizures associated
with severe eclampsia,
pre-eclampsia, or
acute nephritis
Preterm labor.
Treatment of torsade
de pointes.
Adjunctive treatment
for bronchodilation in
moderate to severe
acute asthma
IM, IV (Adults):
Severe deficiency—
8–12 g/day in divided doses;
mild defi-
ciency—
1gq6hrfor4
doses or 250 mg/kg over 4 hr
Drowsiness, low
respiratory rate.
Bradycardia
Hypotension, diarrhea,
flushing, sweating,
hypothermia
Oxytocin Induction of labor at
term
Facilitation of
threatened abortion
Post-
partum control of
bleeding after
expulsion of the
placenta.
IV (Adults):
0.5–1 milliunits/min;
Q by 1–2 milliunits/min q 30–60 min until
de-
sired contraction pattern established; dose
may be
p after desired frequency of con-