OB RLE

• Lidocaine


  used in ephysiotomy
• Dextrose 50/50


  used in maternal and fetal hypoglycemia may occur during labor and delivery
• Potassium Chloride


  used in the management and treatment of hypokalemia or electrolyte imbalance
• Hydralazine


  reduce blood pressure in hypertensive urgency or emergency
• Diphenhydramine


  used for management of allergy
• Used for management of ANGINA/ CHEST PAIN

  1. ISODRIL - Isosorbide dinitrate
  2. A - Aspirin
• Dobutamine


  used in severe cardiovascular compromise during labor
• Adenosine


  used for management of tachycardia
• Amiodarone


  used in pregnancy for either maternal or fetal tachyarrhythmias
• Nicardapine


  to lower blood pressure
• Terbutaline


  help prevent and slow contractions of the uterus
• Dexametesone


  accelerates maturation of fetal lungs
• Furosemide


  Diuretic
• Antidote

  Magnesium sulfate - Calcium gluconate
• Antidote

  Butorphanol - Nalaxone
• Methergine


  used for the prevention and control of postpartum hemorrhage. usually used if oxytocin didn't work

  • IV push - D&C
  • IM - Delivery
• Norepinephrine


  to elevate blood pressure
• Sodium Bicarbonate


  used in cardiac arrest
• 3 Signs of Placental Delivery/Seperation

  1. Lengthening of umbilical cord
  2. Gush of blood
  3. Uterus becomes firm & globular
• Baby

  • Vitamin K- 0.1 mL (Left)
  • Hepa B Vaccine - 0.5 mL (Right)
• Fetal Heart Rate

  • Baseline: 120-160 (110 - acceptable)
  • Variability: 5-25 (<5 - bad)
  • Acceleration: with or without
  • Deceleration: early or late (late- notify physician)
• Contractions

  1. Mild: 20-40
  2. Moderate: 50-70
  3. Strong: 80-100
• Phenobarbital


  used for management of seizures