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