Medication: Acyclovir

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

• Brand/ Generic Name: Zovirax
• Route/ Dose: PO: 200mg q4hr, 5 times/day
  IV: 5 mg/kg q8hr
• Action: Interferes with viral DNA synthesis
• Obstetric use: Recurrent genital herpes infection
• Nursing Consideration/ Patient Teaching: Acyclovir is not a cure and will not prevent spread of infection to others. Condoms should be used and no sexual contact should be made when lesions are present.
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription): B (PO, IV)
  C (Topical)

Medication: Ambien

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

• Brand/ Generic Name:Zolpidem
• Route/ Dose: PO, SL: 10 mg at bedtime
• Action: Produces CNS depression by binding to GABA receptors
• Obstetric use: Sedation and induction of sleep
• Nursing Consideration/ Patient Teaching: Not recommended for use longer than 7-10 days. Medication has rapid onset, so patient must go to bed immediately after taking medication.
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription): C

Medication: Ampicillin

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

Ampicillin

• Brand/ Generic Name: Marcillin, Principen
• Route/ Dose: PO (>20kg): 250-500 mg q6hr.
  PO (<20kg): 50-100 mg/kg/day q6hr
• Action: Binds to bacterial cell wall, resulting in cell death
• Obstetric use: Bactericidal that is broader than penicillin
• Nursing Consideration/ Patient Teaching: Observe for anaphylaxis. Obtain history of reactions to penicillin or cephalosporin prior to use.
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription): 

Medication: Ancef

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

Ancef

• Brand/ Generic Name: Cefalzolin 
• Route/ Dose: IM, IV (adults): 500 mg (2g/6-8hr) for severe infections.
  IM, IV (children and infants <1 month): 16.7-33.3 mg/kg 
• Action: Binds to bacterial cell wall membrane, causing cell death
• Obstetric use: Perioperative prophylaxis. Active against gram-positive cocci.
• Nursing Consideration/ Patient Teaching: Assess patient for skin rash frequently, since it may be life threathening. Stens-Johnson syndrome or toxic epidermal necrolysis may develop.
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription): B

Medication: Aquamephyton (phytonadione)

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

Aquamephyton (phytonadione)

• Brand/ Generic Name: Mephyton
• Route/ Dose: IV, SQ (adults): 10mg

  PO (adults): 2.5 -25 mg/day.

  IV, SQ (children): 1-2 mg single dose

  PO (children): 2.5-5mg/day.
• Action: Hepatic synthesis of blood coagulation factors
• Obstetric use: Prevents bleeding due to hypoprothrombinemia
• Nursing Consideration/ Patient Teaching: Emphasize importance of frequent lab tests to monitor coagulation factors. Avoid IM injections and activities that lead to injuries until coagulation defect is corrected.
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription): C

^{Medication: Azithromycin}

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

Azithromycin

• Brand/ Generic Name: Zithromax, Zmax
• Route/ Dose: PO (adults): 500 mg on 1^st day, 250 mg/day the next 4 days.
  PO (children >6 months): 10 mg/kg on 1^st day, then 5 mg/kg for next 4 days.
• Action: Inhibits protein synthesis
• Obstetric use: Inhibits protein synthesis
• Nursing Consideration/ Patient Teaching: Observe for anaphylaxis. May cause increase in serum bilirubin, ALT, LDH, and alkaline phosphatase concentrations
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription): B

^{Medication: Azithromycin}

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

Azithromycin

• Brand/ Generic Name: Zithromax, Zmax
• Route/ Dose: PO (adults): 500 mg on 1^st day, 250 mg/day the next 4 days.
  PO (children >6 months): 10 mg/kg on 1^st day, then 5 mg/kg for next 4 days.
• Action: Inhibits protein synthesis
• Obstetric use: Inhibits protein synthesis
• Nursing Consideration/ Patient Teaching: Observe for anaphylaxis. May cause increase in serum bilirubin, ALT, LDH, and alkaline phosphatase concentrations
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription): B

^{Medication: Azithromycin}

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

Azithromycin

• Brand/ Generic Name: Zithromax, Zmax
• Route/ Dose: PO (adults): 500 mg on 1^st day, 250 mg/day the next 4 days.
  PO (children >6 months): 10 mg/kg on 1^st day, then 5 mg/kg for next 4 days.
• Action: Inhibits protein synthesis
• Obstetric use: Inhibits protein synthesis
• Nursing Consideration/ Patient Teaching: Observe for anaphylaxis. May cause increase in serum bilirubin, ALT, LDH, and alkaline phosphatase concentrations
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription): B

Medication: Benadryl

• Brand/ Generic Name
• Route/ Dose
• Action
• Obstetric use
• Nursing Consideration/ Patient Teaching
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)

Benadryl

• Brand/ Generic Name: Diphenhydramine
• Route/ Dose: PO (adults and children >12): 25-50 mg q4hr.

  PO (6-12 y): 12.5-5 mg q4hr.

• Action: Histamine antagonizer
• Obstetric use: Decreases symptoms of histamine excess (sneezing, nasal pruritis)
• Nursing Consideration/ Patient Teaching: Caution parents to avoid OTC cough and cold products while breast feeding or to children <4 years old. May cause drowsiness,
• Pregnancy Risk Category (OTC) OR Narrative Information (Prescription)