Drug Cards

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  1. Terbutaline
    • Generic: Terbutaline
    • Trade: Brethine

    Class: adrenergic agonist

    Action: Beta 2 agonist causing smooth muscle relaxation and bronchodilation.

    Indication: prevent & reverse bronchospasm

    Adverse Effects:arryhthmias, angina, anxiety, headache, dizziness, palpations.

    Contraindications: sensitivity to sympathomimetics. caution with htn, cardiac issues, diabetes, elderly, seizures.

    • Dosage: Adult 0.25 mg SQ q 20 minutes
    • Pedi: 0.01 mg/kg SQ q 20 min.

    Route: SQ

    Special: pregnancy class c
  2. Pitocin
    • Generic: Oxytocin
    • Trade: Pitocin

    Class:Pituitary hormone

    Action:stimulates uterinesmooth muscle contraction.

    Indication: postpartum hemorrhage after infant and placenta delivery.

    Adverse: hypotension,HTN, tachycardia, dysrhythmias, anxiety, seizure, N/V, allergy, uterine rupture

    Contraindications: second fetus, fetal distress, hypertonic or hyperactive uterus.

    Dosage: 3-10 units

    Route: IV

    Special: Class x
  3. Methergine
    • Generic: Methylergonovine
    • Trade: Methergine

    Class: gynecologics

    Action: increases uterine contraction force and frequency.

    Indication: postpartum uterine hemmorrhage post birth

    Adverse: HTN, seizures, arrhythmias, headache, N/V allergic reaction.

    Contraindications: sensitivity, HTN, pregnancy, toxemia,

    • Dosage:
    • Adult: 0.2 mg q 2-4 h as needed up to 5 X

    Pedi: none

    Route: IM

    Special: Pregnancy Class C
  4. Magnesium Sulfate - OB uses
    • Generic: Magnesium Sulfate
    • Trade: Magnesium sulfate

    Class: electrolyte, anticonvulsant

    Actions: reduces striated muscle contraction to inhibit uterine contractions

    Indication: premature labor

    Adverse: diaphoresis, hypotension, hypothermia, reduce heart rate, respiratory depression, circulatory collapse.

    Contraindications: heart blocks, myocadial damage

    • Dose: adult: 1-4 g max 30-40/day
    • Pedi: none

    Route: IV, IO

    Special: pregnancy class B
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