Betamethasone – (bay-ta-meth-a-sone) – pregnancy category C –

 Indications – to prevent or reduce the severity of respiratory

distress syndrome in preterm infants between 24 and 34 weeks of
gestation (unlabeled use)
 Action – Stimulates fetal lung maturation by promoting the release
of enzymes that induce the production or release of lung surfactant.
 Classifications –
o Therapeutic – stimulates fetal lung maturation
o Pharmacological – Glucocorticoids (corticosteroids)
 Pharmacokinetics
o Absorption - Preferred method of absorption is via injection
o Distribution – Crosses the placenta; enters the breast milk
o Metabolism and Excretion – Metabolized in the liver and
excreted by the kidneys
o Half-life – 6.5 hrs
 Contraindications and precautions – contraindicated in women in
whom there is a medical indication for delivery (i.e., sever
pregnancy induced hypertension (PIH), cord prolapse,
chorioamnionitis, abruptio placentae) and in women with systemic
fungal infection.
 Adverse Reactions and Side effects – Seizures, headache, vertigo,
hypertension, increased perspiration, petechiae, ecchymoses, and
facial erythema, maternal infection, pulmonary edema (if
administered with beta-adrenergic medications). May worsen
certain maternal conditions such as diabetes and hypertension.
 Route and Dosage – 12 mg IM q24hr x 2 doses
Brethine – (Generic form – Terbutaline) –
 is used to prevent and treat wheezing, shortness of breath, and
troubled breathing caused by asthma, chronic bronchitis,
emphysema, and other lung diseases. It relaxes and opens air
passages in the lungs, making it easier to breathe.
 Terbutaline tablets are also used to prevent premature labor in
pregnancy.
Nifedipine –
 Nifedipine is used to treat high blood pressure and to control angina
(chest pain). Nifedipine is in a class of medications called calcium-
channel blockers. It works by relaxing the blood vessels so the heart
does not have to pump as hard. It also increases the supply of blood
and oxygen to the heart.
 Nifedipine is also used sometimes to treat preterm labor and
Raynaud's syndrome.
Magnesium sulfate – Pregnancy category D
 Indications - Anticonvulsant in severe eclampsia or preeclampsia
 Unlabeled use – Preterm labor
 Actions – Plays an important role in neurotransmission and muscular
excitability
 Therapeutic effects – Resolution of eclampsia
Calcium gluconate –
 Hypocalcemic tetany, hypocalcemia related to hypoparathyroidism
and due to rapid growth of pregnancy
 Black widow spider bites to relieve muscle cramping
 Hyperkalemia (if patient is not digitalized)

Pitocin –
 Oxytocic—Oxytocin;
 Antihemorrhagic (postpartum and postabortal uterine bleeding)—
Oxytocin Injection;
 Lactation stimulant—Oxytocin Nasal Solution;
 Diagnostic aid (utero-placental insufficiency; placental reserve)—
Oxytocin Injection;

Prostaglandin gel –
 Prostoglandin is an artificial hormone similar to the one your body
produces to start labor. This hormone softens and thins the cervix,
readying it for delivery. Prostoglandin gel is used to induce natural
labor. Labor usually starts within 6 to 12 hours after insertion of
prostaglandin gel.
Cytotec –
 CYTOTEC (MISOPROSTOL) ADMINISTRATION TO WOMEN WHO ARE
PREGNANT CAN CAUSE ABORTION, PREMATURE BIRTH, OR BIRTH
DEFECTS. UTERINE RUPTURE HAS BEEN REPORTED WHEN CYTOTEC
WAS ADMINISTERED IN PREGNANT WOMEN TO INDUCE LABOR OR
TO INDUCE ABORTION BEYOND THE EIGHTH WEEK OF PREGNANCY
(see also PRECAUTIONS and Labor And Delivery) CYTOTEC
SHOULD NOT BE TAKEN BY PREGNANT WOMEN TO REDUCE THE
RISK OF ULCERS INDUCED BY NONSTEROIDAL ANTI-INFLAMMATORY
DRUGS (NSAIDs) (see CONTRAINDICATIONS, WARNINGS, and
PRECAUTIONS)
Methergine –
  Methergine® (methylergonovine maleate) is a semi-synthetic ergot
alkaloid used for the prevention and control of postpartum
hemorrhage.
Terbutaline –
 is used to prevent and treat wheezing, shortness of breath, and
troubled breathing caused by asthma, chronic bronchitis,
emphysema, and other lung diseases. It relaxes and opens air
passages in the lungs, making it easier to breathe.
 Terbutaline tablets are also used to prevent premature labor in
pregnancy.
Indomethacin –
 Indomethacin is used to relieve moderate to severe pain,
tenderness, swelling, and stiffness caused by osteoarthritis (arthritis
caused by a breakdown of the lining of the joints), rheumatoid
arthritis (arthritis caused by swelling of the lining of the joints), and
ankylosing spondylitis (arthritis that mainly affects the spine).
Indomethacin is also used to treat pain in the shoulder caused by
bursitis (inflammation of a fluid-filled sac in the shoulder joint) and
tendinitis (inflammation of the tissue that connects muscle to bone).
Indomethacin immediate-release capsules, suspension (liquid) and
suppositories are also used to treat acute gouty arthritis (attacks of
severe joint pain and swelling caused by a build-up of certain
substances in the joints). Indomethacin is in a class of medications
called NSAIDs. It works by stopping the body's production of a
substance that causes pain, fever, and inflammation.
Stadol –
 Butorphanol nasal spray is used to relieve moderate to severe pain.
It also is used to manage migraine headaches.
 This medication is sometimes prescribed for other uses; ask your
doctor or pharmacist for more information.
Fentanyl –
 Fentanyl skin patches should only be used to control moderate to
severe chronic (around-the-clock, long-lasting) pain that cannot be
controlled by the use of other pain medications in people who are
tolerant (used to the effects of the medication) to narcotic pain
medications because they have taken this type of medication for at
least 1 week. Fentanyl skin patches should not be used to treat mild
pain, short-term pain, pain after an operation or medical or dental
procedure, or pain that can be controlled by medication that is
taken as needed.
Demerol –
 Meperidine is used to relieve moderate to severe pain. Meperidine is
in a class of medications called narcotic analgesics, a group of pain
medications similar to morphine. It works by changing the way the
body senses pain.
Phenergan –
  Meperidine is used to relieve moderate to severe pain. Meperidine is
in a class of medications called narcotic analgesics, a group of pain
medications similar to morphine. It works by changing the way the
body senses pain.
Duramorph –
 This medication is used to treat severe pain. It acts on certain
centers in the brain to give you pain relief. This medication is a
narcotic pain reliever (opiate-type).
Nubain –
 Treating and preventing moderate to severe pain. It can also be
used for pain relief before and after surgery and during childbirth. It
may also be used for other conditions as determined by your doctor.
 Nubain is an analgesic. It works by blocking certain receptor sites in
the central nervous system, which helps to decrease pain.
Penicillin –
 Penicillin V is an antibiotic belonging to the penicillin group of drugs.
It works by interfering with the formation of the bacteria's cell wall
while it is growing, weakening the wall and killing the bacteria.
 Penicillin V is used to treat many different types of infections caused
by bacteria, such as ear infections.
 It may also be used for other purposes not listed in this medication
guide.
Ampicillin –
 Ampicillin is a penicillin-like antibiotic used to treat certain
infections caused by bacteria such as pneumonia; bronchitis; and
ear, lung, skin, and urinary tract infections. Antibiotics will not work
for colds, flu, or other viral infections.
 This medication is sometimes prescribed for other uses; ask your
doctor or pharmacist for more information
Tylenol # 3 –
 Acetaminophen (Tylenol) and codeine is a prescription pain
medicine. It is a narcotic, which means it has the potential to relieve
pain while making you feel sleepy.
Percoset –
 Oxycodone is in a group of drugs called narcotic pain relievers.
Acetaminophen is a less potent pain reliever that increases the
effects of oxycodone.
 Percocet is used to relieve moderate to severe pain.
 Percocet may also be used for other purposes not listed in this
medication guide.
Ibuprofen –
 Prescription ibuprofen is used to relieve pain, tenderness, swelling,
and stiffness caused by osteoarthritis (arthritis caused by a
breakdown of the lining of the joints) and rheumatoid arthritis
(arthritis caused by swelling of the lining of the joints). It is also
used to relieve mild to moderate pain, including menstrual pain
(pain that happens before or during a menstrual period).
Nonprescription ibuprofen is used to reduce fever and to relieve
mild pain from headaches, muscle aches, arthritis, menstrual
periods, the common cold, toothaches, and backaches. Ibuprofen is
in a class of medications called NSAIDs. It works by stopping the
body's production of a substance that causes pain, fever, and
inflammation.
Toradol –
 Ketorolac is used to relieve moderately severe pain, usually after
surgery. Ketorolac is in a class of medications called NSAIDs. It
works by stopping the body's production of a substance that causes
pain, fever, and inflammation.
Darvocet N 100 –
 This combination medication is used to help relieve mild to
moderate pain. It contains a narcotic pain reliever (propoxyphene)
and a non-narcotic pain reliever (acetaminophen). Propoxyphene
works in the brain to change how your body feels and responds to
pain. Acetaminophen can also reduce a fever.
Vicodin –
 Vicodin is a tablet containing a combination of acetaminophen and
hydrocodone. Hydrocodone is in a group of drugs called narcotic
pain relievers.
 Acetaminophen is a less potent pain reliever that increases the
effects of hydrocodone.
 Vicodin is used to relieve moderate to severe pain.
 Vicodin may also be used for purposes other than those listed in this
medication guide.
Fiorinal –
  This combination of Aspirin, Butalbital, and Caffeine are used to
relieve tension headaches.
Dibucaine –
 Dibucaine topical (for the skin) is an antiseptic, or numbing
medicine.
 Dibucaine topical is used to treat pain and itching cause by minor
burns, insect bites, hemorrhoids, sunburn, or other minor skin
irritations.
 Dibucaine topical may also be used for other purposes not listed in
this medication guide.
Colace –
 Stool softeners are used on a short-term basis to relieve
constipation by people who should avoid straining during bowel
movements because of heart conditions, hemorrhoids, and other
problems. They soften stools, making them easier to pass.
Dulcolax –
 Bisacodyl, a laxative, is used on a short-term basis to treat
constipation. It also is used to empty the bowels before surgery and
examinations such as X-ray procedures using barium enemas.
Bisacodyl is available with or without a prescription.
Simethicone – ie.,alka seltzer, maalox
 Simethicone is used to treat the symptoms of gas such as
uncomfortable or painful pressure, fullness, and bloating.
Maalox –
 Simethicone is used to treat the symptoms of gas such as
uncomfortable or painful pressure, fullness, and bloating.
Zofran –
 Ondansetron is used to prevent nausea and vomiting caused by
cancer chemotherapy, radiation therapy and surgery. Ondansetron
is in a class of medications called 5-HT3 receptor antagonists. It
works by blocking the action of serotonin, a natural substance that
may cause nausea and vomiting.
Reglan –
 Metoclopramide injection is also used to prevent nausea and
vomiting caused by chemotherapy or that may occur after surgery.
Metoclopramide injection is also sometimes used to empty the
intestines during certain medical procedures. Metoclopramide
injection is in a class of medications called prokinetic agents. It
works by speeding the movement of food through the stomach and
intestines.
Vistaril –
 Hydroxyzine is used to relieve the itching caused by allergies and to
control the nausea and vomiting caused by various conditions,
including motion sickness. It is also used for anxiety and to treat the
symptoms of alcohol withdrawal.
Versed –
  Midazolam is given to children before medical procedures or before
anesthesia for surgery to cause drowsiness, relieve anxiety, and
prevent any memory of the event. Midazolam is in a class of
medications called benzodiazepines. It works by slowing activity in
the brain to allow relaxation and sleep.
Restoril –
 Temazepam is used on a short-term basis to treat insomnia
(difficulty falling asleep or staying asleep). Temazepam is in a class
of medications called benzodiazepines. It works by slowing activity
in the brain to allow sleep.
Ambien –
 Zolpidem is used to treat insomnia (difficulty falling asleep or
staying asleep). Zolpidem belongs to a class of medications called
sedative-hypnotics. It works by slowing activity in the brain to allow
sleep.
Ancef –
 Cefazolin is in a group of drugs called cephalosporin (SEF a low spor
in) antibiotics. It works by fighting bacteria in your body.
 Cefazolin injection is used to treat many kinds of bacterial
infections, including severe or life-threatening forms.
Clindamycin –
 Clindamycin is used to treat certain types of bacterial infections,
including infections of the lungs, skin, blood, female reproductive
organs, and internal organs. Clindamycin is in a class of medications
called lincomycin antibiotics. It works by slowing or stopping the
growth of bacteria. Antibiotics such as clindamycin will not kill the
viruses that cause colds, flu, and other infections.
Gentamycin –
 Gentamycin (or gentamicin) is a aminoglycoside antibiotic, and can
treat many different types of bacterial infections, particularly Gram-
negative infections.Gentamycin works by binding to a site on the
bacterial ribosome, causing the genetic code to be misread.Like all
aminoglycosides, gentamycin does not pass the gastro-intestinal
tract, so it can only be given intravenously, intramuscularly or
topically.
Normadyne –
 Labetalol is used to treat high blood pressure. Labetalol is in a class
of medications called beta blockers. It works by relaxing blood
vessels and slowing heart rate to improve blood flow and decrease
blood pressure.
Rubella Vaccine –
 The rubella vaccine is a live attenuated (weakened) virus which is
usually given as part of the MMR vaccine (protecting against
measles, mumps, and rubella). MMR is recommended at 12-15
months (not earlier) and a second dose when the child is 4-6 years
old (before kindergarten or 1st grade). Rubella vaccination is
particularly important for non-immune women who may become
pregnant because of the risk for serious birth defects if they acquire
the disease during pregnancy
Nursery 1/23/11 12:11 PM

Eryhromycin –
 Erythromycin is an antibiotic used to treat certain infections caused
by bacteria, such as bronchitis; diphtheria; Legionnaires' disease;
pertussis (whooping cough); pneumonia; rheumatic fever; venereal
disease (VD); and ear, intestine, lung, urinary tract, and skin
infections. It is also used before some surgery or dental work to
prevent infection. Antibiotics will not work for colds, flu, or other
viral infections.
Vitamin K –
 Vitamin K is a fat-soluble vitamin that plays an important role in
blood clotting. The body can store fat-soluble vitamins in fatty
tissue.
 Vitamin K is known as the clotting vitamin, because without it blood
would not clot. Some studies indicate that it helps in maintaining
strong bones in the elderly.
Vitamin B vaccine –
 Vitamin B12 is the largest and most complex of all the vitamins. It is
needed to help maintain healthy nerve cells and red blood cells.
The red blood cells carry oxygen and nourish the organs and cells
throughout the body. It is also needed to produce DNA,, the genetic
material in all cells. There are enzymes which require vitamin B12
to produce energy from fats and protein. Vitamin B12 may be
important in cancer prevention, decrease risk of heart disease and
Alzheimer's.
Hepatitis B immune globulin (HBIG) –
 Hepatitis B immune globulin is made from human plasma containing
proteins that protect against the type B form of hepatitis
(inflammation of the liver).
 Hepatitis B immune globulin is used to prevent hepatitis B in people
receiving a liver transplant, and in babies born to mothers infected
with hepatitis B. It is also used to prevent hepatitis B in people who
have been exposed to contaminated blood products, or through
household or sexual contact with an infected person.
 Hepatitis B immune globulin is not a vaccine. Therefore it will not
provide long-term protection from hepatitis B. For long-term
protection you must receive a hepatitis B vaccine such as Engerix-B,
Recombivax HB, or Twinrix.