Common Antepartum Medications
- Ceftriaxone 2g loading then 1g IV q 24hrs
- Flagyl 500mg IV BID
- Ampicillin (GBS prophylaxis) 2g IV x 1 dose then 1g q4h until delivery
- Clindamycin 600-900 mg IV q8h
- Erythromycin 250 mg PO QID x 10 days (for PPROM)
- Betamethasone (Celestone) 12 mg IM q24h x 2 doses
- Diclectin 2 tabs PO qhs + 1 tab qam + 1 tab qpm (max 8 tabs daily)
- PregVit 1 tab PO qam + 1 tab PO qpm
- RHO immune globulin (RhoGAM, WinRho) 300 mcg IM
Common Post Partum Hemorrhage Medications and Uterotonics
-
Hemabate (repeat q15min - max 8 doses - R/o Asthma)
Hemabate 0.25 mg deep IM
Hemabate 0.25 mg intra myometrial
- Methylergonovine 0.25 mg IM or 0.125 mg IV (max 5 doses q5min apart); r/o HTN
- Misoprostal (Cytotec) 800-1000 mcg PR x 1 dose
- Misoprostal 400/800mg PR/PV x 1 dose
- Oxytocin 10 units IM or 10 – 40 units in 1L NS and infuse 20-40 milliunits/minute IV
Hypertensive Medications
- Labetalol 100 mg PO BID (max 2400mg/day)
- Magnesium Sulfate 4-6g IV over 30 min then 2 g/h
- Adalat XL 30 mg PO daily (PIH with Asthma)
- calcium gluconate 1 g IV
Common Gynecology Conditions
-
Acute Menorrhagia
Premarin 25 mg IV q6h (for acute mennorhagia)
Cyclokapron 1 g PO TID (acute mennorhagia; contraindication: previous VTE)
Ovral 1 tab qid then tid then bid x 1 week each
Danazol 200 mg qid x 2 d then tid x 5 d then bid x 7d then OD x 3 w then 100mg OD x 6 m
-
Vaginal Conditions
Estradiol vaginal tab (Vagifem; atrophic vaginitis) 1 tab PV x 2w then 1 tab PV 2x/week
Metronidazole (Metro-gel) 1 applicator full (0.75% gel in 70 g tube) qhs x 5 days (for BV)
-
Fungal Infections
Clotrimazole (Canestin; candidiasis) 1 applicator 2% cream qhs x 3 days
Fluconazole (candidiasis) 150 mg PO x 1dose
Antibiotics for UTIs
- Amoxacillin 500 mg PO tid x 10 days
- Macrobid SR 100 mg PO BID x 7 days or nitrofurantoin 50 mg PO QID x 7 days
- Septra DS (trimethoprim 160 mg + sulfamethoxazole 800 mg) One tab PO BID x 7 days
- Ciprofloxacin 500 mg PO BID or 400 mg IV q12h
Analegesics
- Tylenol #3 1 – 2 tabs PO q4h
- Ibuprofen 200 – 400 mg PO q6h
- Ketorolac 10 mg PO q8h or 30 mg IV q8h
- Morphine sulphate (MS Contin) 30 mg PO q8 - 12h
- Percocet (5/325) 1 to 2 tabs PO q6h
- Hydromorphone (Dilaudid) 2 – 4 mg PO q4-6h or 3 mg PR q4h or 0.5-2mg IM/SC/slow IV q6h
Constipation Treatment
- Colace 100 mg PO BIDh
- Sennokot 1-2 tablets PO qHS PRN
- Lactulose 15-30 mL PO daily PRN
- PEG 17g PO 1-2 times daily PRN
- Bisacodyl supp. 10 mg PR daily PRN
- Fleet Enema PR daily PRN
- PEG enema 2x 17g package in 500 cc NS, PR BID PRN