Category: MEDICATIONS

MAGNESIUM SULFATE

• 500mg /ml solution

FOR ECLAMPSIA

• 4 g intravenous loading dose
• Immediately followed by 10 g intramuscularly – 5 mg in each buttock
• Followed by 5 g intramuscularly every 4 hours in alternating buttocks
• Check patellar reflexes before each injection
• If weak or absent wait another 4 hours before giving next injection

MISOPROSTOL

• Tablet Cytotec 200 µg

FOR INDUCTION IN IUFD

Gestational age < 26 weeks

• ORAL ADMINISTRATION (preferred)
  • One tablet diluted in 10 cc
    • 2 cc orally every 6 hours
• VAGINAL ADMINISTRATION
  • ½ tablet in vagina every 6 hours

Gestational age > 26 weeks

• ORAL ADMINISTRATION (preferred)
  • One tablet diluted in 10 cc
    • 1 cc orally every 4 hours
• VAGINAL ADMINISTRATION
  • ¼ tablet in vagina every 4 hours
  • One tablet diluted in 10 cc
    • 1 cc in vagina every 4 hours

Use only exceptionally and with greatest precaution for induction with alive fetus

FOR POSTPARTUM BLEEDING

ORAL ADMINISTRATION (preferred)

• 2 to 3 tablets orally

RECTAL ADMINISTRATION

• 2 to 4 tablets rectally

VALIUM

For Eclampsia:

• 5 to10 mg i.v. or rectally
• Repeat after 10 to 15 minutes up to a maximum dose of 30 mg
• If needed repeat after 2 to 4 hours.
• Keep a syringe loaded with 10 mg at bedside
• Give immediately i.v. when a seizure is noted

OXYTOCIN

FOR INDUCTION OF LABOUR

• 10 units in 500 cc Normal Saline solution
• Start i.v. infusion with 10 ml per hour
• increase by 20 ml every 20 minutes until contractions occur

FOR POSTPARTUM HEMORRHAGE

• 30 units in 500 CC Normal Saline
• Infused over 2 to 4 hours

NEFIDIPINE

For Hypertension:

• 10 mg 3 times daily

For Premature Labor:

• 10 to 40 mg
• Followed by 10 to 20 mg every 6 to 8 hours

LIDOCAINE

For Eclampsia:

• 2mg/kg i.v. as a bolus

2mg/kg/h i.v. as maintenance

SALBUTAMOL

• Tablets 4 mg

For Premature Labor:

• 4 mg four times daily