Trade: Ambien Generic: Zolpidem

Class: nonbarbituate sedative Action: sedation/relaxation Use: short term tx of insomnia SE: AM drowsiness, HA, dizziness, nausea

Trade: N/A Generic: Ampicillin

Class: Antibiotic Action: Bacteriocidal Use: GBS + mom & neonate SE: N, V, D, vaginitis

Trade: Celestone Generic: Betamethasone

Class: Corticosteroid Action: Accelerates fetal lung maturity Use: Prevention of RDS in fetus (preterm usually) SE: Mom - Hyperglycemia, pulmonary edema BABY - hypoglycemia, risk for sepsis

Trade: N/A Generic: Calcium Gluconate

Class: Electrolyte Action: MgSO4 antagonist Use: MgSO4 toxicity SE: decr reflexes, oliguria, confusion, decr resp, circ collapse, N, V, blurred vision, slurred speech

Trade: Cervadil Generic: Dinoprostone

Class: Prostoglandin Action: Ripens Cervix & stimulates smooth muscle contraction Use: labor induction SE: uterine hyperstimulation, fetal distress

Trade: Cleocin Generic: Clindamycin

Class: Antibiotic Action: Bacteriocidal Use: GBS+ Mom & neonate SE: N, V, D, pseudomembranous colitis

Trade: Colace Generic: Docusate

Class: Laxative Action: Stool Softener Use: promote bowel evacuation postpartum SE: Ab cramping

Trade: Cytotec Generic: Misoprostol *Off label Use in OB

Class: Prostaglandin Action: Ripens Cervix and stimulates smooth muscle contraction Use: labor induction SE: uterine hyperstimulation, fetal and maternal death, fever, HTN

Trade: Demerol Generic: Meperidine

Class: Narcotic Analgesic Action: Pain control Use: Moderate postpartum pain SE: N, V, dizziness, sedation

Trade: Motrin Generic: Ibuprofen

Class: NSAID Action: antiinflammatory, antipyretic, analgesic Use: mild to mod postpartum pain. SE: HA, dizziness, N, constipation

Trade: Hemabate Generic: Carboplast

Class: Oxytocic & Prostaglandin Action: smooth muscle stimulant, vasoconstrictor Use: tx of uterine atony & hemorrhage SE: HA, flushing, bradycardia, bronchospasm, wheezing

Trade: Normodyne, Trandate Generic: Labetalol

Class: A & B adrenergic blocker; antihypertensive Action: Block A1, b1, b2 receptors to lower BP Use: Hypertension SE: dizziness, vertigo, tinnitus, fatique, gastric pain, constipation, N,V,D, bronchospasm, dyspnea

Trade: MgSO4 Generic: Magnesium Sulfate

Class: Electrolyte/anticonvulsant Action: CNS depressant Use: PIH, prevention of preterm labor SE: weakness, dizziness, hypotnsn, low reflexes, hypothermia, flushing, sweating, circ collapse.

Trade: Methergine Generic: Methylergonovine

Class: Oxytocic, Ergot alkaloid Action:Smooth muscle stim; vasoconstrictor Use: tx of uterine atony, hemorrhage, and subinvolution SE: Dizziness, HA, N, transient HT, ab cramps.

Trade: Narcan Generic: Naloxone

Class: narcotic antagonist Action: reverses resp depression caused by narcotics Use: lowers resp for mom and baby after narcotic during labor. SE: can cause withdrawal syndrom in neonates of drug addicted mothers. Do not give.

Trade: Nubain Generic: Nalbuphine

Class: narcotic analgesic Action: pain control Use: moderate to severe labor pain SE: Sedation, clamminess, HA, dizziness, vertigo, dry mouth, urticaria

Trade: Penicillin G Generic:

Class: Antibiotic Action: Bacteriocidal via cell wall synthesis inhibition Use: GBS+ mom & neonate SE: Chills, fever, rash, anaphylaxis

Trade: Phenergan Generic: Promethazine

Class: Antiemetic Action: Dec or elim nausea Use: N & V assoc w/ L&D SE: dizziness, drowsiness, urinary frequency

Trade: Pitocin Generic: Oxytocin

Class: Oxytocic, synthetic hormone Action: stim contraction of smooth uterine muscle Use: labor induction, improve labor contraction to achieve vag delivery SE: N, V, cardiac arrythmias, fetal bradycardia, uterine hyperstimulation, H2O intoxication

Trade: Procardia Generic: Nifedipine *Off label OB use

Class: Calcium Channel Blocker/ Tocolytic Action: Uterine smooth muscle relaxation Use: prevent preterm labor SE: Hypotension, Dizziness

Trade: Rhogam Generic:

Class: vaccine Action: prevent hemolytic disease of the newborn Use: Give to Rh- mother and neonate Rh+ SE: Pain and soreness at injection site

Trade: Stadol Generic: Butorphanol

Class: Narcotic analgesic Action: pain control Use: mod to severe labor pain SE: maternal & fetal resp depression

Trade: Terbutaline Generic: Brethine *Off label OB Use - Tocolytic

Class: Beta-adrenergic recept Action: Uterine smooth muscle relaxant Use: prevention of preterm labor SE: N, cardiac arrythmias, resp distress

Trade: Tylenol 3 Generic: Acetaminophen & Codeine combo

Class: Narcotic analgesic / antipyretic Action: pain control Use: mild to mod postpartum pain SE: N, V, dizziness, sedation

Trade: Vicodin Generic: Hydrocodone & Acetaminophen combo

Class: narcotic analgesic Action: pain control Use: mild to mod postpartum pain SE: sedation, dizziness, vertigo, dry mouth, lethargy, confusion

Trade: Vitamin K Generic: aquamephyton

Class: Fat Soluble Vitamin Action: Prevent/tx of hemorrhagic disease of the newborn. Use: Given at birth to all neonates. SE: Bleeding, ecchymoses

Trade: Zofran Generic: Odansetron

Class: antiemetic/CNS agent Action: blocks seratonin, acts on vagal nerve and chemoreceptor trigger zone Use: prevention of N,V, & TX of postop N, V. SE: Anxiety, dizziness, somnolence, constipation, diarrhea