DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY

ROUTE/ USES EFFECTS

(Generic Name/ FREQUENCY
Brand name, Local PRE-ADMINISTRATION INTRA-ADMINISTRATION POST-ADMINISTRATION
Market Price)

Generic Name: Epidural block up Local or regional Feeling anxious, Anaphylactoid Bupivacaine should be used Local anesthetic procedures Must be store and control the
Bupivacaine to a max of 10- anesth or analgesia for restless, confused, or reactions (sometimes with caution in patients with should be used with caution room temperature, between
Hydrochloride 125% 20mL. Caudal surgery, dental & oral might pass out, fatal), known allergies and when there is inflammation and 15°C and 30°C (59°F and
block up to a max surgery procedures, problems with speech anginal pain, sensitivities. Bupivacaine or sepsis in the region of the 86°F). Careful and constant
Brand Name: of 15—30 mL. diagnostic & or vision, ringing in anxiety, should be used with caution, proposed injection. It is monitoring f cardiovascular
(Marcaine, Peripheral block therapeutic procedures the ears, metallic apprehension, blurred especially in repeat doses in recommended that a test dose and respiratory vital signs, and
Sensorcaine) up to a max of 5 & obstet procedures. taste, numbness or vision, bradycardia patients with hepatic and containing epinephrine be the patient’s state of
mL. tingling around your renal disease. Explain the administered initially when consciousness should be
Local Market Price: Retrobulbar block mouth, or tremors, effect of the Bupivacaine to clinical conditions permit and performed after each local
Php 175.00 up to a max of 2-4 seizure (convulsions), the patient. Standard the effects monitored before the anesthetic injection.
mL. weak or shallow protocol for management full dose is given. Mixing or
Sympathetic block breathing, fast heart should be available. Do not the prior or intercurrent use of
up to a max of 20- rate, weak pulse, use the solution if its color is any other local anesthetic with
50 mL. urinating less than pinkish or darker that Bupivacaine cannot be
usual or not at all slightly yellow or if it recommended because of
DRUG MECHANISM PREGNANCY RISK EFFECT ON EFFECT ON contains precipitate. insufficient data on the clinical
CLASSIFICATION OF ACTION CATEGORY PREGNANCY LACTATION use of such mixtures.
N01BB01- Local anesthetics Category C: Either There are no It is not known
Bupivacaine; block the studies in animals adequate and well- whether local
Belongs to the class generation and the have revealed adverse controlled studies in anesthetic drugs are
of amides. Used as conduction of effects on the fetus pregnant women on excreted in human
local anesthetics. nerve impulses. (teratogenic or the effect of milk.
embryocidal or other) Bupivacaine on the
and there are no developing fetus.
controlled studies in
women or studies in
women.
VIII- PHARMACOLOGIC INTERVENTIONS
 DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY
ROUTE/ USES EFFECTS
(Generic Name/ FREQUENCY
Brand name, Local PRE-ADMINISTRATION INTRA-ADMINISTRATION POST-ADMINISTRATION
Market Price)

Generic Name: IM,IV:50-100mcg: Regional anesthesia Commonly reported Apnea, Tell the patient that it may Breathing, blood pressure, Wash hands after
Fentanyl citrate 7-15 mins/ 20-30 during labor side effects of laryngospasm, cause life- threatening oxygen levels, and other vital using/administering the
mins/ 1-2 hrs fentanyl include: itching, respiratory withdrawal symptoms in a signs will be watched closely medicine. Properly dispose
Brand Name: fever, respiratory depression newborn if the mother has while the patient is receiving the left over medicine. Report
(Sublimaze) depression, nausea, used this medicine during fentanyl. any emergency situation after
vomiting, and pregnancy. Know the history using Fentanyl citrate.
Local Market Price: diaphoresis. of allergic reaction. Monitor Vital Signs and
Php 84.00 Explain the use of this observe the patient for signs
medicine. of skeletal and thoracic
DRUG MECHANISM PREGNANCY RISK EFFECT ON EFFECT ON Explain the side effects. muscle (depressed
CLASSIFICATION OF ACTION CATEGORY PREGNANCY LACTATION respirations). Tell the patient
that she should avoid drinking
Narcotic analgesics Synthetic, potent US FDA pregnancy Prolonged use of This drug excreted
alcohol for several hours after
narcotic agonist category: C opioids during into human milk you receive fentanyl.
analgesic with pregnancy can result achieves levels in
pharmacologic in physical colostrum which are
actions dependence in the greater than maternal
qualitatively neonate; women serum levels. No
similar to those of should be advised of adverse effects have
morphine and the risk of neonatal been reported in
meperdine. abstinence syndrome nursing infants.
and ensure that
appropriate treatment
will be available.
 DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY
ROUTE/ USES EFFECTS
(Generic Name/ FREQUENCY
Brand name, Local PRE-ADMINISTRATION INTRA-ADMINISTRATION POST-ADMINISTRATION
Market Price)

Generic Name: Post-op n/v:IM, Prevention of Feeling restless, Neuroleptic Lab tests: Periodic serum Give over 1-2 mins, IV Discard open ampules; do not
Metoclopramide IV: 10-20 mg, prn chemotherapy induced drowsy, tired, or malignant syndrome, electrolyte. infusion: give over 15 mins. store for future use.
Hydrochloride q6-8 hr emesis. Post surgical dizzy; headache, drowsiness, EPS, Explain to the patient the use Note: bags of metoclopramide Report immediately the onset
PO: 30-60 mins/ and diabetic gastric sleep, problems restlessness. of this drug. should be protected from the of restlessness, involuntary
Brand Name: 1-2 hrs. stasis. Post- op n/v. (insomnia)’ nausea, Explain to the patient the light during IV infusion (use movements, facial grimacing,
Reglan IM: 10-15 mins/ vomiting, diarrhea, possible side effects. aluminum foil or a thick cotton rigidity, or tremors.
1-2 hrs. breast tenderness. cover) Be aware that during Extrapyramidal symptoms are
Local Market Price: IV: 1-3 mins/ early treatment period. Serum most likely to occur in
Php 2.85 1-2 hrs. aldosterone may be elevated; children, young adult, and
after prolonged administration older adult and which high-
periods. It returns to dose treatment vomiting
DRUG MECHANISM PREGNANCY RISK EFFECT ON EFFECT ON pretreatment level. Do not associated with cancer
CLASSIFICATION OF ACTION CATEGORY PREGNANCY LACTATION breast feed while taking the chemotherapy. Symptoms can
drug without consulting a take months to regress. Avoid
Gastrointestinal Potent central Pregnancy Category: Use during the first Variable amounts are
physician. driving and other potentially
agent; prokinetic dopamine receptor B and third trimesters excreted in breast
hazardous activities for a few
agent (gi stimulant) antagonist. No risk in other should be avoided milk, with some hours after drug
Structurally related studies: Animal when possible. infants receiving administration. Avoid alcohol
to procainamide reproduction studies Monitoring for doses that achieve
and other CNS depressants.
but has little failed to have extrapyramidal pharmacologically
Report S&S of acute
antiarrhythmic or demonstrate a risk to a syndrome is active serum levels, dystonia, such as trembling
anesthetic activity. fetus and there are no recommended for elevated serum hands and facial grimacing
Exact mechanism adequate and well- neonates exposed prolactin and possible
immediately.
of action not clear controlled studies in during third semester. gastrointestinal side
but appears to pregnant women OR effects. This drug is
sensitize GI to animal studies have used as a
effects of shown an adverse galactagogue.
acetylcholine. effect.
 DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY
ROUTE/ USES EFFECTS
(Generic Name/ FREQUENCY
Brand name, Local PRE-ADMINISTRATION INTRA-ADMINISTRATION POST-ADMINISTRATION
Market Price)

Generic Name: IV: 500-1500mg, Tx of inflammatory Chest pain. GI bleed, hepatitis, Shake the oral suspension Instruct the patient to take If you take ibuprofen for a
Ibuprofen 10 mg/kg. PO diseases and Weakness, shortness headache, allergic (liquid) well just before you ibuprofen with food or milk to long period of time, your
Analgesic: 4-10 rheumatoid d/o’s, mild of breath, slurred reactions, N/V measure a dose. lessen stomach upset. doctor may want to check you
Brand Name: mg/kg/dose q6-8h, to moderate pain, speech, problems Explain the use of this drugs. Instruct the client to measure on a regular basis to make
(Motrin) max 40mg/kg/day. fever, dysmenorrheal, with vision or Explain to the patient that the liquid with a marked sure this medication is not
gout. balance; black, she should not use in larger measuring spoon or medicine causing harmful effects. Do
Local Market Price: bloody or tarry or smaller amounts or for cup, not with a regular not miss any scheduled visits
Php 31. 13 stools, coughing up longer than recommended. tablespoon. to your doctor.
blood or vomit that Store at room temperature
looks like coffee away from moisture and heat.
grounds; swelling or Do not allow the liquid
rapid weight gain; medicine to freeze.
urinating less than
usual or not at all.
DRUG MECHANISM PREGNANCY RISK EFFECT ON EFFECT ON
CLASSIFICATION OF ACTION CATEGORY PREGNANCY LACTATION
Nonsteroidal anti- Nonsteroidal anti- FDA pregnancy Taking ibuprofen It is not known
inflammatory drug inflammatory category D during the last 3 whether ibuprofen
(NSAID) drugs such as months of pregnancy passes into breast
ibuprofen work by may harm the unborn milk or if it could
inhibiting the baby. harm a nursing baby.
cyclooxygenase
(COX) enzymes
 DRUG NAME DOSAGE/ INDICATIONS/ SIDE EFFECTS ADVERSE MIDWIFE’S RESPONSIBILITY
ROUTE/ USES EFFECTS
(Generic Name/ FREQUENCY
Brand name, Local PRE-ADMINISTRATION INTRA-ADMINISTRATION POST-ADMINISTRATION
Market Price)

Generic Name: IV: 20-30 ml/kg Isotonic solution for Hives, itching , Allergic reactions or This solution should be used If administration is controlled Do not store after use.
Lactated Ringers body weight/hour fluid and electrolyte facial, and/or larynx anaphylactoid with care in patients with by a pumping device, care must Properly dispose after each
enters blood replenishment, usually swelling, coughing, symptoms such as hypervolemia, renal be taken to discontinue use.
Brand Name: immediately. after blood loss. sneezing. localized or insufficiency, urinary tract pumping action before the Do not reuse.
Hartman’s solution Contains Na, Cl, K, Ca generalized urticarial obstruction, or impending or container runs dry or air After administering, check the
lactate. and pruritus; frank cardiac embolism may result. When sites for possible swelling.
Local Market Price: periorbital, facial, decompensation. Care introducing additives, use
Php 186.75 and/or laryngeal should be exercised in aseptic techniques.
edema. administering solutions
DRUG MECHANISM PREGNANCY RISK EFFECT ON EFFECT ON containing sodium or
CLASSIFICATION OF ACTION CATEGORY PREGNANCY LACTATION potassium to patients with
renal or cardiovascular
Belongs to the class Lactated ringers Pregnancy Category It is also not known It is not known insufficiency, with or
of solutions for replaces water and C. whether Lactated whether this drug is without congestive heart
parenteral nutrition electrolytes. ringer’s injection excreted in human
failure particularly if they are
used in I.V. USP can cause fetal milk, because many
postoperative.
solutions. Isotonic harm when drugs are excreted in
Crystalloid solution. administered to a human milk, caution
pregnant woman or should be exercised
can affect when lactated
reproduction ringer’s injection
capacity. USP is administered
to a nursing woman.

NUTRITIONAL NFJEWNDKASNM
Deterred work is a standout among the most widely recognized preventable reasons for maternal and perinatal horribleness and mortality in creating nations.

Among the basic causes are cephalopelvic imbalance, malpresentation and malposition. Perceiving the reasons for deterred work is vital if the inconvieniences are

to be forestalled. Satisfactory anticipation, be that as it may can be accomplished just through a multidisciplinary approach pointed in the present moment at

distinguishing high-chance cases and in the long haul at enhancing sustenance. Early parenthood ought to be debilitated and endeavors are expected to enhance

nourishment earliest stages, youth, early adulthood and pregnancy. Enhancing the entrance to and advancing the utilization of regenerative and preventative

administrations will help lessen the commonness of this complexity.

Diet tips for Mother after cesarean delivery

Almost 33 percent of mother who gave birth in 2013(2018??) had a cesarean section, reported the Center for disease control and prevention. If youre one of these

women, how you treat your body in the days, weeks and months following the birth effects your rate of revery, energy and body shape. A C-section is mahor

abdominal surgery, it involves cutting through abdominal wall and uterus to birth a baby. Recovery requires optimal nutrition for healing.

Proper nutrition will also help you to drop weight gained during pregnancy – when, of course, your body is ready.

Diet Immediately following a C- section (sleepy na ako ante)

You’ll be allowed to consume only ice chips in the hours after a C-section and may experience nausea that can persist for a few days, especially if you had a general
anesthesia. Depending on your progress, your doctor will permit a clear liquid diet and then real food. It’s important that you can pass gas, and indication of a

working intestinal tract, before you transition to whole foods. Gentle walking as soon as you are able helps improve circulation and gets the digestive tract working

normally. Expect it to take a several days for you to have a bowel movement. Any narcotics given post C- section may also contribute constipation, which may last

more than a few day. Focus on high-fiber choices such as whole grains, fresh vegetables and beans when you can eat solid foods. Hydrate thoroughly and have an

occasional glass of juice, especially prune juice, to get things moving.

Diet Tips for mothers in first few week after Cesarean

It takes about six weeks to completely heal from a c- section -- possibly longer if you experienced complications. At first you may still look slightly pregnant, but

your uterus will return to its normal size in time. Don’t try to diet and lose weight, during the first six weeks because your body is till healing. Also, if you’re breast-

feeding, your milk supple is just getting established, and you need to adequate calories and nutrients to feed you and your baby. Balanced meals containing lean

proteins, plenty of fresh vegetables and fruits – especially those with vitamin C, which helps with healing – low fat dairy and whole grains should comprise most

meals. Avoid relying on take-outs, frozen dinners or other processed foods. Instead, prepare easy-to-make meals such as roast chicken, breast, salads, pre-chopped

vegetables and whole grain pasta. Enjoy healthy snacks, such as fruit, a handful of nuts or low-fat yogurt.

Nutrition in the months after a cesarean delivery

Every woman loses pregnancy weight at a different rate. By six months, much what you gained will probably be gone if you’ve been eating well. If you gained 35
pounds or more, you might need 10 or 12 months to drop the extra weight. Breastfeeding naturally boosts your daily calorie burn to help you lose weight.

Wait on any concentrated effort to lose weight until six weeks after surgery and talk to your doctor before starting any diet. Eating between 500 and 790 calories

less than you burn daily will load to a weight loss of 1 to 1 ½ pounds per week. Exercise helps, too. For example, going for a walk with the stroller or hire a sitter

while you hit the gym. Avoid fad diets, which compromise your energy, metabolic rate, and your breast milk quality -- if you’re nursing your baby.