Common OB & Neonatal Medications (4) (1) (1).docx - Commonly \u2013 Used Medications in OB\/Newborn Medication Intended Effect To prevent Beta 2 or

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Commonly – Used Medications in OB/NewbornMedicationIndicationIntended EffectDose/PushRateSide EffectsAdverse EffectsTerbutalineTo prevent or reverse bronchospasm from asthma, bronchitis, or emphysema. Beta 2 adrenergic effects to suppress uterine activity. Can delay delivery for 3 days. IV maximum dose 0.08 mg/min SQ 0.25 mg every 3-4 hoursTachycardia, cardiac arrhythmia, myocardial ischemia, elevation inmaternal glucose. Monitor maternal blood pressure and heart rate. May hold dose for BP of< 90/50 or HR >120. Magnesium SulfateTo prevent and control seizures in preeclampsia or eclampsia. Depresses myometriumcontractility, relaxes smooth muscle of the uterus.Initial loading dose of 4-6 g in 20 mins, then 2 g/ hr. Therapeutic level at 5-8 mg/dLFlushing, lethargy, headache, muscle weakness, pulmonary edema. Monitor FHR and UCs. Monitor newborn for signs of magnesium toxicity. OxytocinPromotes uterine contractions. Acts on the smooth muscle of the uterus to stimulate contractions.
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  • Spring '19
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  • Uterus

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