L&D Med Cards

Stadol

� Brand and Generic name - Butorphanol (Stadol)
� Classification - Analgesic, opioid agonist/antagonist
� Pregnancy risk category - C
� Action - centrally acting analgesic with mixed narcotic agonist and antagonist actions.
� Indication - labor pain, post

Oxytocin

� Brand and Generic name - Oxytocin (Pitocin)
� Classification - oxytocic
� Pregnancy risk category - C? X?
� Action - Produces phasic contractions characteristic of normal delivery
� Indication - initiate or improve uterine contraction at term, stimulati

Morphine

� Brand and Generic name - Morphine (Duramorph)
� Classification - analgesic; narcotic (opiate agonist)
� Pregnancy risk category - C (D in long term use, high dose, or close to term)
� Action - opiate agonist
� Indication - sustemic analgesia, given IV o

Narcan

� Brand and Generic name - Naxolone (Narcan)
� Classification - Opiate antagonist
� Pregnancy risk category - C
� Action - potent narcotic antagonist, free of agonistic properties
� Indication - narcotic overdose, complete or partial reversal of narcotic

Vistaril

� Brand and Generic name - Hydroxyzine (Vistaril)
� Classification - Analgesic, antihistamine
� Pregnancy risk category - C
� Action - H1 receptor antagonist, tranquilizing effect produced by depression of hypothalamus.
� Indication - anxiety, pruritis, s

Bicitra

� Brand and Generic name - Sodium Citrate, Citric Acid (Bicitra)
� Classification - nonparticulate oral antacid (clear) Alkalinizing agents
� Pregnancy risk category - C
� Action - reduces gastric acidity
� Indication - general anesthesia for emergent c-s

Cervidil

� Brand and Generic name - Dinoprostone vaginal insert (Cervidil)
� Classification - oxytocic, prostaglandin
� Pregnancy risk category - C
� Action - stimulates uterine contractions, causing expulsion of uterine contents
� Indication - to expel uterine co

Fentanyl

� Brand and Generic name - Fentanyl
� Classification - analgesic, narcotic (opiate agonist)
� Pregnancy risk category - C (B if injected)
� Action - synthetic, potent narcotic agonist analgesic that causes analgesia and sedation, alters respiratory rate m

Procardia

� Brand and Generic name: Procardia/Nifedipine
� Classification: Calcium Channel Blocker, Antianginal, Antihypertensive
� Pregnancy risk category: Category C
� Action: Selectively inhibits the transmembrane influx of calcium ions into cardiac muscle and v

Indocin

� Brand and Generic name: Indocin/Indomethacin
� Classification: Analgesic, Nonsteroidal anti-inflammatory (NSAID)
� Pregnancy risk category: Category B (first and second trimester), category D (third trimester)
� Action: Potent nonsteroidal compound that

Hydralazine

� Brand and Generic name: Apresoline/Hydralazine
� Classification: Non-nitrate vasodilator, antihypertensive
� Pregnancy risk category: category C
� Action: reduces BP mainly by direct effect on vascular smooth muscles of arterial-resistance vessels, resu

Terbutaline

� Brand and Generic name: Brethine/Terbutaline
� Classification: beta-adrenergic receptor agonist; bronchodilator
� Pregnancy risk category: category C
� Action: Inhibits histamine release from mast cells and increases ciliary motility. Increases uterine

Labetalol

� Brand and Generic name: Trandate/Labetalol
� Classification: Alpha and beta adrenergic antagonist; antihypertensive
� Pregnancy risk category: category B (first and second trimester) and category D (third trimester)
� Action: acts as an adrenergic recep

Calcium Gluconate

� Brand and Generic name: Calcium Gluconate
� Classification: electrolyte replacement
� Pregnancy risk category: category C
� Action: cation needed for maintenance of nervous, muscular, skeletal function; enzyme reactions; normal cardiac contractility, co

Zofran

� Brand and Generic name: (Zofran) Ondansetron Hydrochloride
� Classification: Antiemetic.
� Pregnancy risk category: Category B, breastfeeding
� Action: Blocks serotonin receptors centrally in the chemoreceptor trigger zone and peripherally at vagal nerv

Cytotec

� Brand and Generic name: (Cytotec) Misoprostol
� Classification: Prostaglandin, Gastric Mucosa protectant, antiulcer
� Pregnancy risk category: Category X
� Action: May protect the stomach from NSAID-induced mucosal damage by increasing gastric mucus pro

Ampicillin

� Brand and Generic name: (NovoAmpicillin) Ampicillin
� Classification: Broad-spectrum Penicillin, Antibiotic
� Pregnancy risk category: Category B
� Action: Inhibits bacterial cell wall synthesis. The rigid, cross-linked cell wall is assembled in several

Penicillin G

� Brand and Generic name: (Beepen-VK) Penicillin G
� Classification: Penicillin, Antibiotic
� Pregnancy risk category: Category B
� Action: Inhibits the final stage of bacterial cell wall synthesis by competitively binding to penicillin-binding proteins i

Cefazolin

� Brand and Generic name: (Ancef) Cefazolin
� Classification: First-generation cephalosporin, antibiotic
� Pregnancy risk category: Category B
� Action: Interferes with bacterial cell wall synthesis by inhibiting the final step in the cross-linking of pep

Clindamycin

� Brand and Generic name: (Cleocin) Clindamycin
� Classification: Lincosamide, Antiinfective
� Pregnancy risk category: Category B
� Action: Inhibits protein synthesis in susceptible bacteria by binding to the 50S subunits of bacterial ribosomes and preve

Gentamycin

� Brand and Generic name: (Garamycin) Gentamycin
� Classification: Aminoglycoside derived, Antiinfective
� Pregnancy risk category: Category D
� Action: Binds to negatively charged sites on the outer cell membrane of bacteria, thereby disrupting the membr

Erythromycin Opthalmic Ointment

� Brand and Generic name: ( Ilotycin) Erythromycin Opthalmic Ointment
� Classification: Antiinfective, antibiotic.
� Pregnancy risk category: Category B
� Action: Binds with the 50S ribosomal subunit of the 70S ribosome in many types of aerobic, anaerobic

Stadol

� Brand and Generic name - Butorphanol (Stadol)
� Classification - Analgesic, opioid agonist/antagonist
� Pregnancy risk category - C
� Action - centrally acting analgesic with mixed narcotic agonist and antagonist actions.
� Indication - labor pain, post

Oxytocin

� Brand and Generic name - Oxytocin (Pitocin)
� Classification - oxytocic
� Pregnancy risk category - C? X?
� Action - Produces phasic contractions characteristic of normal delivery
� Indication - initiate or improve uterine contraction at term, stimulati

Morphine

� Brand and Generic name - Morphine (Duramorph)
� Classification - analgesic; narcotic (opiate agonist)
� Pregnancy risk category - C (D in long term use, high dose, or close to term)
� Action - opiate agonist
� Indication - sustemic analgesia, given IV o

Narcan

� Brand and Generic name - Naxolone (Narcan)
� Classification - Opiate antagonist
� Pregnancy risk category - C
� Action - potent narcotic antagonist, free of agonistic properties
� Indication - narcotic overdose, complete or partial reversal of narcotic

Vistaril

� Brand and Generic name - Hydroxyzine (Vistaril)
� Classification - Analgesic, antihistamine
� Pregnancy risk category - C
� Action - H1 receptor antagonist, tranquilizing effect produced by depression of hypothalamus.
� Indication - anxiety, pruritis, s

Bicitra

� Brand and Generic name - Sodium Citrate, Citric Acid (Bicitra)
� Classification - nonparticulate oral antacid (clear) Alkalinizing agents
� Pregnancy risk category - C
� Action - reduces gastric acidity
� Indication - general anesthesia for emergent c-s

Cervidil

� Brand and Generic name - Dinoprostone vaginal insert (Cervidil)
� Classification - oxytocic, prostaglandin
� Pregnancy risk category - C
� Action - stimulates uterine contractions, causing expulsion of uterine contents
� Indication - to expel uterine co

Fentanyl

� Brand and Generic name - Fentanyl
� Classification - analgesic, narcotic (opiate agonist)
� Pregnancy risk category - C (B if injected)
� Action - synthetic, potent narcotic agonist analgesic that causes analgesia and sedation, alters respiratory rate m

Procardia

� Brand and Generic name: Procardia/Nifedipine
� Classification: Calcium Channel Blocker, Antianginal, Antihypertensive
� Pregnancy risk category: Category C
� Action: Selectively inhibits the transmembrane influx of calcium ions into cardiac muscle and v

Indocin

� Brand and Generic name: Indocin/Indomethacin
� Classification: Analgesic, Nonsteroidal anti-inflammatory (NSAID)
� Pregnancy risk category: Category B (first and second trimester), category D (third trimester)
� Action: Potent nonsteroidal compound that

Hydralazine

� Brand and Generic name: Apresoline/Hydralazine
� Classification: Non-nitrate vasodilator, antihypertensive
� Pregnancy risk category: category C
� Action: reduces BP mainly by direct effect on vascular smooth muscles of arterial-resistance vessels, resu

Terbutaline

� Brand and Generic name: Brethine/Terbutaline
� Classification: beta-adrenergic receptor agonist; bronchodilator
� Pregnancy risk category: category C
� Action: Inhibits histamine release from mast cells and increases ciliary motility. Increases uterine

Labetalol

� Brand and Generic name: Trandate/Labetalol
� Classification: Alpha and beta adrenergic antagonist; antihypertensive
� Pregnancy risk category: category B (first and second trimester) and category D (third trimester)
� Action: acts as an adrenergic recep

Calcium Gluconate

� Brand and Generic name: Calcium Gluconate
� Classification: electrolyte replacement
� Pregnancy risk category: category C
� Action: cation needed for maintenance of nervous, muscular, skeletal function; enzyme reactions; normal cardiac contractility, co

Zofran

� Brand and Generic name: (Zofran) Ondansetron Hydrochloride
� Classification: Antiemetic.
� Pregnancy risk category: Category B, breastfeeding
� Action: Blocks serotonin receptors centrally in the chemoreceptor trigger zone and peripherally at vagal nerv

Cytotec

� Brand and Generic name: (Cytotec) Misoprostol
� Classification: Prostaglandin, Gastric Mucosa protectant, antiulcer
� Pregnancy risk category: Category X
� Action: May protect the stomach from NSAID-induced mucosal damage by increasing gastric mucus pro

Ampicillin

� Brand and Generic name: (NovoAmpicillin) Ampicillin
� Classification: Broad-spectrum Penicillin, Antibiotic
� Pregnancy risk category: Category B
� Action: Inhibits bacterial cell wall synthesis. The rigid, cross-linked cell wall is assembled in several

Penicillin G

� Brand and Generic name: (Beepen-VK) Penicillin G
� Classification: Penicillin, Antibiotic
� Pregnancy risk category: Category B
� Action: Inhibits the final stage of bacterial cell wall synthesis by competitively binding to penicillin-binding proteins i

Cefazolin

� Brand and Generic name: (Ancef) Cefazolin
� Classification: First-generation cephalosporin, antibiotic
� Pregnancy risk category: Category B
� Action: Interferes with bacterial cell wall synthesis by inhibiting the final step in the cross-linking of pep

Clindamycin

� Brand and Generic name: (Cleocin) Clindamycin
� Classification: Lincosamide, Antiinfective
� Pregnancy risk category: Category B
� Action: Inhibits protein synthesis in susceptible bacteria by binding to the 50S subunits of bacterial ribosomes and preve

Gentamycin

� Brand and Generic name: (Garamycin) Gentamycin
� Classification: Aminoglycoside derived, Antiinfective
� Pregnancy risk category: Category D
� Action: Binds to negatively charged sites on the outer cell membrane of bacteria, thereby disrupting the membr

Erythromycin Opthalmic Ointment

� Brand and Generic name: ( Ilotycin) Erythromycin Opthalmic Ointment
� Classification: Antiinfective, antibiotic.
� Pregnancy risk category: Category B
� Action: Binds with the 50S ribosomal subunit of the 70S ribosome in many types of aerobic, anaerobic