Obstetric Medications

The flashcards below were created by user dohertys on FreezingBlue Flashcards.

  1. Treatment for fetal pulmonary maturity in PTL
  2. Dosage of Betamethasone in PTL
    Betamethasone valerate 12 mg IM q24h x 2
  3. Dosage of Dexamethasone in PTL
    Dexamethasone 6mg IM q 12h x 4 doses
  4. Treatment of nausea in pregnancy
  5. Dosage of Diclectin
    Doxylamine succinate w vitamin B6 2 tabs qHS, 1 tab qAm, 1 tab qPM,
  6. Drug to treat medical abortion or ectopic
  7. Dosage of MTX for Ectopic or medical abortion
    Methotrexate 50mg/m2 IM OR 50mg PO x 1
  8. Drugs to treat uterine atony
    Oxytocin, Ergotamine, Carboprost
  9. Dose of Oxytocin for uterine atony
    • 10U IM at delivery of ant shoulder (prevention)
    • 20Units/Litre NS IV continuous infusion (treatment)
  10. Dose of Hematbate/Carbaprost for uterine atony
    0.25mg IM q15min, max 2mg
  11. Dose of Ergotamine for uterine atony
    • Methylergonavine maleate(Ergotamine) 0.25mg IM q5min, max 1.25mg
    • OR 0.125mg IV bolus
  12. Uses of Cytotec (Misoprostol)
    Treat PPH, for medical abortion, *outside of pregnancy only - prevent NSAID induced ulcers
  13. Dose of Cytotec/Misoprostol for PPH/medical abortion
    800-1000 mcg PR x 1, 400mcg PO x 1, 800 mcg PV x 1
  14. Use of Rhogam (anti-Rh IgG)
    Rh negative women: routinely @ 28wks GA, w/i 72h after birth of +ive baby, +ive Kleihauer Betke test, invasive procedures in peg, etcopic pregnancy, antepartum hemorrhage, miscarriage or TA
  15. Dose of Rhogam
    Rhogam 300mcg IM x 1 dose Exception - Miscarriage or TA - 50mcg IM
  16. Folic acid dosage - normal and increased risk
    0.4 to 1.0 mg PO OD x 1-3 mo preconception and T1
  17. Dose of FOlic acid if increased risk of NTD
    5mg PO OD if high risk/past NTD
  18. Cervidil/dinoprostone usage and dose
    Induction of labour 10mg PV x 12 hours (then remove), max 3 doses
  19. Common discharge meds for obs
    Empracet 30 (tylenol w codeine 30mg) Colase (docusate sodium) Iron (FeSO4)
  20. Dose of Iron
    • FeSo4 300mg PO OD if Hb 80-99
    • FeSO4 300mg PO BID if Hb <79
    • x 3mos or duration of breast feeding
  21. Drug & dose for GBS prophylaxis in labour
    Pen G 5 millin U IV then 2.5 million IV q4h until delivery
  22. If GBS+ and Pen allergic but no anaphylaxis
    Cefazolin (Ancef) 2g IV q8h
  23. If GBS+ and Pen allergic w anaphylaxis
    Clindamycin 900mg IV q8h or Erythromycin 500mg IV q6h
  24. Treatment of Therapeutic/Elective Abortions if <9 weeks GA
    • Methotrexate + misoprostol
    • MTX 50mg/m2 IM, then 3-7 days after Misoprostol/Cytotec 400mcg Po x 1 or 800mcg PV x 1.
  25. 1st line Treatment of UTI in Pregnancy
    Amoxicillin 250-500mg PO q8h x 7d
  26. Alternative treatments of UTI in Pregnancy
    Septra(TMP-SMX) or nitrofurantoin
  27. Mgmt of pyelonephritis in peg
    Hospitalize and IV Abx
  28. Mgmt of missed abortion (cervix closed)
    a) watch and wait, b) misoprostol 400-800mcg Po/PV, c) D&C +/- oxytocin
  29. 3 things to always check in abortion and bleeding in pregnancy
    1) R/O ectopic pregnancy, 2) check Rh status 3) hemodynamic stability
Card Set:
Obstetric Medications

Commonly used Obs meds
Show Answers: