Medication Sheet: Antepartum Woman
Make additional copies as needed
Medication Name (generic & trade names), Dose, Frequency & Route
Drug Family/ Type of drug
Purpose of drug for this client/ intended action
Other
GN: Ampillicin
TN:
Route: IM or IV
Usual adult dose:

Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Cefotaxime
TN: Claforan
Route: IV or IM
Usual adult dose:

Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Docusate sodium
TN: Colace
Route: oral
Usual adult dose:

Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Gentamicin
TN:
Route: IM or IV
Usual adult dose:

Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Nifedipine
TN: Procardia, Adalat (and others)
Route: oral
Usual adult dose:

Reduce uterine contractions (non-formulary use)
Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Prenatal vitamins
TN:
Route: oral
Usual adult dose:

Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

Medication Sheet: Labor & Delivery (2 pages)
Make additional copies as needed
Medication Name (generic & trade names), Dose, Frequency & Route
Drug Family/ Type of drug
Purpose of drug for this client/ intended action
Other
GN: Bupivacaine
TN: Marcaine, Sensorcaine, Naropin
Route: epidural
Usual adult dose:

Epidural block
Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Butorphanol
TN: Stadol
Route: IV or IM
Usual adult dose:

Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Carboprost tromethamine
TN: Hemabate
Route:
Usual adult does:

Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Dinoprostone
TN: Cervidil; Prepidil, Prostin E
Route: vaginal
Usual dose:

Cervical ripening to induce labor
Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

GN: Fentanyl
TN: Sublimaze
Route: IM or IV (usually IV for patient in labor)
Usual adult dose:

Side effects:
Fetal effects:
Pregnancy Category:
Nursing implications:

Medication Sheet: Postpartum Woman (2 pages)
Make additional copies as needed
Medication Name (generic & trade names), Dose, Frequency & Route
Drug Family/ Type of drug
Purpose of drug for this client/ intended action
Other
GN: Docusate sodium
TN: Colace
Route: oral
Usual adult dose

Side effects:
Nursing implications:
Lactation effects:

GN: Ibuprofen
TN: Motrin
Route: oral
Usual adult dose:

Side effects:
Nursing implications:
Lactation effects:

GN: Iron sulfate
TN:
Route: oral
Usual adult dose:

Side effects:
Nursing implications:
Lactation effects:

GN: Morphine
TN:
Route: IV (PCA pump)
Usual adult dose:

Side effects:
Nursing implications:
Lactation effects:

GN: Morphine
TN: Duramorph
Route: epidural
Usual adult dose:

Side effects:
Nursing implications:
Lactation effects:

GN: Oxycodone w/ Acetaminophen
TN: Percocet / Tylox
Route: oral
Usual adult dose:

Side effects:
Nursing implications:
Lactation effects:

GN: Prenatal vitamins
TN:
Route : oral
Usual adult dose :

Side effects:
Nursing implications:
Lactation effects:

GN: Rubella vaccine
TN:
Route: subcutaneous
Usual adult dose:

Side effects:
Nursing implications:
Lactation effects:
Side effects:
Nursing implications:
Lactation effects:

GN: Rho-immune globulin
TN: RhoGAM
Route: IM
Usual adult dose:

Postpartum prophylaxis

Medication Sheet: Newborn Infant
Make additional copies as needed
Medication Name (generic & trade names), Dose, Frequency & Route
Drug Family/ Type of drug
Purpose of drug for this client/ intended action
Side effects & nursing implications.
GN: Ampicillin
TN: Omnipen-N
Route: IM or IV
Usual neonatal dose: (100-400mg/ kg/ day)

Aminopenicillin/Antibiotic
Susceptible bacterial