Amanda Shared "Labor and Delivery Drugs" - 11 Picmonics
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Labor and Delivery Drugs
Magnesium Sulfate
- Mechanism
- Muscle Relaxant
- Indications
- Preterm Labor Contractions
- Preeclampsia
- Side Effects
- Warm Feeling
- Hypotension
- Decreased Deep Tendon Reflexes (DTRS)
- Decreased Respiratory Rate
- Decreased Urine Output
- Paralytic Ileus
- Antidote
- Calcium Gluconate
2 mins
Oxytocin (Pitocin)
- Mechanism of Action
- Increase Uterine Contractions
- Indications
- Labor Induction
- Control Postpartum Hemorrhage
- Side Effects
- Uterine Rupture
- Water Intoxication
- Contraindications
- Fetal Lung Immaturity
- Cervix Not Ripened
- Active Genital Herpes Infection
- Considerations
- Use Lowest Dose
- IV Pump
3 mins
Dinoprostone and Misoprostol
- Mechanism
- Mechanism
- Prostaglandins
- Prostaglandins
- Indications
- Indications
- Promote Cervical Ripening
- Promote Cervical Ripening
- Prevent GI Ulcers
- Prevent GI Ulcers
- Medical Abortion
- Medical Abortion
- Side Effects
- Side Effects
- Fetal Distress
- Fetal Distress
- Hyperstimulation of Uterus
- Hyperstimulation of Uterus
- Considerations
- Considerations
- Vaginal Insertion
- Vaginal Insertion
- Give Before Induction of Labor
- Give Before Induction of Labor
2 mins
Methylergonovine (Methergine) and Ergotamine (Ergot Alkaloids)
- Mechanism
- Smooth Muscle Contraction
- Vasoconstriction
- Indications
- Migraine
- Postpartum Hemorrhage
- Side Effects
- Nausea and Vomiting
- Severe Hypertension
- Tachycardia
- Considerations
- 2nd Line Agent
2 mins
Carboprost (Hemabate)
- Mechanism
- Prostaglandin F2-alpha Analog
- Smooth Muscle Contraction
- Indications
- Postpartum Hemorrhage
- Abortion
- Side Effects
- GI Distress
- Hypertension
- Fever
- Bronchoconstriction
- Considerations
- Identify Cause of Fever
2 mins
Butorphanol
- Indications
- Migraine
- Severe Pain
- Labor
- Mechanism of Action
- Partial Agonist at Mu and Full Agonist at Kappa Receptors
- Less Respiratory Depression
- Side Effects
- Withdrawal Symptoms
1 min
Hydralazine (Apresoline)
- Indications
- Severe Hypertension
- CHF
- Reduced Afterload
- Pregnancy
- Mechanism of Action
- Vasodilates Arterioles
- Side Effects
- Drug-induced Lupus
- Reflex Tachycardia
- Hypotension
- Considerations
- Combined with Diuretic and Beta Blocker
1 min
Terbutaline (Brethine)
- Mechanism of Action
- Mechanism of Action
- Beta-2 Agonists
- Beta-2 Agonists
- Indications
- Indications
- Asthma
- Asthma
- Tocolytic
- Tocolytic
- Side Effects
- Side Effects
- Tremor
- Tremor
- Tachycardia
- Tachycardia
- Pulmonary Edema
- Pulmonary Edema
- Hypokalemia
- Hypokalemia
- Hyperglycemia
- Hyperglycemia
2 mins
Meperidine (Demerol)
- Mechanism
- Mechanism
- Opioid Receptor Agonist
- Opioid Receptor Agonist
- Indications
- Indications
- Moderate to Severe Pain
- Moderate to Severe Pain
- Post Anesthesia Shivering
- Post Anesthesia Shivering
- Side Effects
- Side Effects
- Tremors
- Tremors
- Constipation
- Constipation
- CNS Depression
- CNS Depression
- Sedation
- Sedation
- Considerations
- Considerations
- Short Term Administration
- Short Term Administration
- Increased Risk Serotonin Syndrome
- Increased Risk Serotonin Syndrome
- Does NOT cause Miosis
- Does NOT cause Miosis
- Renal Failure Increases Toxicity Risk
- Renal Failure Increases Toxicity Risk
2 mins
Promethazine (Phenergan)
- Mechanism
- Histamine H1 Receptor Antagonist
- Weak Dopamine Antagonist
- Indications
- Nausea and Vomiting
- Motion Sickness
- Side Effects
- Respiratory Depression
- Sedation
- Anticholinergic Effects
- Extrapyramidal Symptoms
- Considerations
- Use Large Bore IV
- Monitor for Tissue Necrosis
2 mins
Naloxone (Narcan)
- Mechanism
- Competitive Opioid Receptor Antagonist
- Indications
- Opioid Induced CNS Depression
- Side Effects
- Severe Nausea and Vomiting
- Excitable State
- Opioid Withdrawal Symptoms
- Considerations
- Repeated Dosing Often Required
1 min
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