Analgesia = Alleviates sensation of pain or increases one’s threshold May be pharmacological or nonpharmacological When talking about epidurals use a morphine type drug – MS, duromorph, Anesthesia = Used by Queen Victoria 1853 Encompasses analagesia, Amnesia, relaxation & reflex Activity. Abolition of pain perception When talking epidural use a “caine type of med. What do you watch for in Either type?

Narcotics Opioids are used most often Stadol – butorhpanol Demerol – meperidine Sublimaze - fentanyl Nubain – nalbuphine Often see mixed with agonist or atarctics or potentates ie. visteral & phenegran Antagonist compounds ie Stadol & Nuban -decrease respiratory depression Narcan - naloxone Why do you have on hand & when do you give? Atarctics – tranquilizers – sedatives - Do we use is L & D ? Why ? ?

Paracervical or Uterosac block Not used anymore- Why ? Overhead

EPIDURAL

OTHER POSSIBLE MEDICATION YOU MAY SEE IN L&D MAGNESIUM SULFATE METHEGINE OXYTOCIN PROSTAGLANDIN – PGE BRETHIN ANTIOBIOTICS AMPICILLIN GENTAMYCIN OVERHEAD