| ANTIBIOTICS |
SBE prophylaxis |
- Ampicillin 2g IV AND Gentamicin 80mg at 8-9 cm dilated, then repeat Amp AND Gentamicin 8° after delivery.
- PCN allergy – use Vancomycin 1g IV and Gent as above
|
GBS prophylaxis |
- Ampicillin 2g IV load then 1g Q4°
- PCN allergy – Clindamycin 900mg IV q8°
|
Chorio |
- Intrapartum Unasyn 3g IV Q6h, if C/S Gentamicin (2 mg/kg load, then 1.5mg/kg Q8h) AND Clindamycin 900mg Q 8h
|
Endometritis |
- if SVD then Unasyn 3g IV Q6h, if C/S, Gentamicin 2 mg/kg load, then 1.5mg/kg IV Q8h AND Clindamycin 900mg IVQ8h
|
BV |
- Flagyl 500mg po bid x 7 days/MetroGel to vagina bid x 5 days (not in first trimester)
|
Trichomonas |
|
GC |
- Rocephin 250 mg IM x 1 and Zithromax 1g po x1 (NO Doxy if pregnant)
|
Chlamydia |
- if pregnant or no BC, Zithromax 1g po x 1
- if not pregnant, Doxycycline 100mg po bid x 7d
|
UTI’s |
- Macrobid (nitrofurantoin) 100mg bid x 7 days
- TMP/SX DS bid x 7 days (not first trimester or near term)
|
PPROM |
- Ampicillin 4g IV load then 2g Q4°
|
| PAIN MEDICATIONS |
| Demerol |
- 50–100 mg IV q3-4° / Phenergan 25 mg IV q6°
|
| Morphine |
- 2-4 mg IV q1-2° or 10 mg IM q3-4°
|
| Fentanyl |
|
| Epidural |
- may have in active phase – some say when 4 cm dilated or on Pitocin
|
| Vicodin |
- 1-2 tabs po Q4-6h prn pain
|
| OTHER MEDICATIONS |
| N/V |
- Reglan 10 mg po QAC and QHS
- Phenergan 12.5 or 25 mg po/IV/PR Q 4-6 h prn
- Zofran 8mg po BID
|
| Constipation |
- Surfak 240 mg po QHS
- MOM 30ml po Q6h until BM up to 4 doses
- Dulcolax 10mg po/pr QHS
|
| Fever |
- Tylenol 650mg po Q4-6h prn (after thorough work up)
|
