Betamethasone (Celestone) and Dexamethasone – corticosteroids that increase the production of surfactant to speed up the fetal lung maturity.
Indications, Interventions dosage etc. – http://davisplus.fadavis.com/3976/meddeck/pdf/dexamethasone.pdf
Prostaglandins – makes the cervix softer and caused it to dilate and efface, stimulates uterine contractions.
Oxytocin (Pitocin) – increases the force, frequency and duration of uterine contractions. Also promotes milk letdown. Mag Sulfate can relax it if necessary (think of it as an antidote). It is also used to control postpartum bleeding.
Postpartum Hemorrhage Meds – Oxytocin (see above), Methylergonovine (Ergot Alkaloid), Prostaglandin.
An ergot alkaloid is administered postpartum and is not administered before the birth of the placenta.
Eye Prophylaxis – preventive eye treatment for opthalmia neonatorum in the newborn is required by law in the U.S. Erythromycin is prescribed. Clean the newborns eyes before instilling and don’t flush the eyes after use. http://www.stanfordchildrens.org/en/topic/default?id=eye-prophylaxisvitamin-k-injection-90-P02698
Hepatitis B Virus Vaccine – Recommended for all newborns to prevent Hepatitis B. Administer IM in the middle third of the vastus lateralis muscle. Make sure to start an immunization record for the parents.
Next week we’ll begin talking about Peds.