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is a narcotic-like pain reliever.

It is used to relieve the pain of surgical procedures and labor and to boost the effects of anesthesia Butorphanol (Stadol) route: IV SIDE EFFECTS: Drowsiness, dizziness, incoordination, nervousness, a floating feeling, headache, nausea, vomiting, constipation, trouble sleeping, dry mouth, confusion and sweating may occur. USES: This medication causes the uterus to contract and is used for the termination of a pregnancy. It is also used to help control severe bleeding after giving birth. route: IM muscle SIDE EFFECTS: Nausea, diarrhea, flushing, and fever Carboprost tromethamine (Hemabate) serious S/E:headache, stomach/pelvic pain, cramps, coughing, chills, breast tenderness, muscle aches. PRECAUTIONS: Tell your doctor your medical history, especially of: lung problems or trouble breathing (e.g., asthma), high or low blood pressure, kidney or heart problems, bleeding problems, seizures, anemia, pelvic infection, uterus problems, diabetes, liver problems (e.g., jaundice), any allergies Uses: is a natural substance that your body makes in preparation for labor. It relaxes and softens your cervix (cervical ripening) to allow the baby to pass through the birth canal during delivery. Dinoprostone (Cervidil) Route:drug is inserted high in your vagina next to the cervix by your doctor no S/E noted Uses:This medication is a narcotic pain reliever, generally with anesthesia for surgery or procedures Route:muscle IM Side Effects:drowsiness, dizziness, pain at the site of injection, headache, nausea, vomiting, constipation, trouble sleeping or sweating Serious reactions:mental/mood changes, tremors. Unlikely but report promptly: poor coordination, vision problems, difficulty urinating, unusually slow breathing, hallucinations, slow or irregular heartbeat, rash. PRECAUTIONS: allergies (especially drug allergies), heart problems, kidney problems, liver problems, intestinal

Fentanyl (Sublimaze)

problems, lung or breathing problems, enlarged prostate, low blood pressure, low thyroid function, serious head injury, brain disorders, history of drug or alcohol dependency. Uses:medication is used to treat severe pain Duramorph/Astromorph (Intraspinal narcotics) Route:IV/IM Side Effects:respiratory depression and/or respiratory arrest Uses: used for the Tx of preeclampsia/pre term baby; used as a tocolytic medicine to slow uterine contractions during preterm labor Route: IV Magnesium Sulfate Side Effects:Muscle weakness,Lack of energy, Low blood pressure (rare)Headache,Nausea and vomiting,Stuffy nose,Chest pain, Buildup of fluid in the lungs (pulmonary edema) and slowed or difficult breathing,Blurry vision,Slurred speech,Flushing Uses:medication is used to help stop bleeding after delivery of the placenta in childbirth drug class:ergot alkaloids Route: PO w/out food Avoid eating grapefruit or drinking grapefruit juice Methylergonovine maleate (Methergine) Side Effects: hypertension, seizures, headaches, hypotension, N&V Rarely observed reactions have included: acute myocardial infarction, transient chest pains, arterial spasm (coronary and peripheral), bradycardia, tachycardia, dyspnea, hematuria, thrombophlebitis, water intoxication, hallucinations, leg cramps, dizziness, tinnitus, nasal congestion, diarrhea, diaphoresis, palpitation, rash, and foul taste. Uses:used to assist with childbirth only at the time of delivery (e.g., cervical ripening, induction of labor) and for the treatment of severe bleeding after delivery. When used vaginally for these purposes, it works by causing the womb muscles to contract;medication is used to prevent stomach ulcers while you take NSAIDs (e.g., aspirin, ibuprofen, naproxen) Route: vaginal insertion, PO Uses: 1)to induce labor by increasing contractions 2)Postpartum hemorrhage after infant and placental delivery Oxytocin (Pitocin) Route:IV/IM Side Effects: hypo/hypertension, tachy,chest pain,anxiety,seizure, N & V, uterine rupture,allergic

Misoprostol (Cytotec)

Tebutaline sulfate



Emergency rooms deal with many types of injuries and illnesses. Some of the more common medical emergencies that require drugs are cardiac arrests/arrhythmias, strokes, seizures, allergic reactions, overdoses, and traumatic injuries. The most frequently administered drugs for cardiac arrest are epinephrine and atropine, generally given for pulseless rhythms including asystole. Other emergency cardiac drugs include lidocaine, adenosine, amiodarone, calcium chloride, and sodium bicarbonate. Diazepam is the most commonly used seizure-breaking agent, however many other benzodiazepines are in use. Strokes require fibrinolytic therapy in eligible patients, and drugs such as alteplase and retaplase are the most commonly used. For serious allergic reactions (anaphylactic shock) epinephrine is usually the drug of choice. Traumatic injuries don't intrinsically require medication, as fluid loss is the most pressing concern. Most trauma patients receive large doses of fluid (saline or lactated ringers) and can occasionally require blood products. Overdoses can be tricky, as the medication required to counteract the symptoms depend on what was ingested. For heroine and opioid overdoses, naloxone is an immediate and effective antidote. For poisons ingested orally, activated charcoal is often administered. Many poisons have their own unique antidote, and compiling a list is not practical.