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PERINATAL MEDICATIONS Preeclampsia: Hydralazine vasodilator decrease BP Labetalol beta-blocker decrease BP Nifedipine Ca channel blocker decrease BP Magnesium sulfate inhibits the release of acetylcholine decreases neuromuscular irritability antidote = calcium gluconate Discomfort during labor: Nubain opioid agonist antagonist analgesic blocks pain receptor sites *less likely to cause respiratory depression in mom and baby *however, more sedation occurs Vistaril antihistamine, antianxiety, sedative, antipruritic, antiemetic *potentiates narcotic Phenergen antiemetic, sedation, antivertigo potentiates narcotic *can cause drowsiness and drymouth give ice chips *potentiates narcotic Regional anesthetics: Epidural 4 th and 5 th lumbar space give with opioid (fentanyl or morphine) *goes into epidural space outside of spinal fluid sack *CONTRAINDICATED WITH COAGULATION ISSUES *most common form *give IV bolus of 500-1000mL of fluid *hypotension is common, give ephedrine (vasopressor)
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