1. ENOXAPARIN Indication: - Prophylaxis of venous thromboembolism and prevention of pregnancy loss in thrombophilic women Side effects: - Injection site hematoma (OCCASIONAL) - Nausea (OCCASIONAL) - Peripheral edema (OCCASIONAL) Adverse effects: - May lead to bleeding complications ranging from local ecchymoses to major hemorrhage. - May cause heparin induced thrombocytopenia (HIT). 2. NALBUPHINE (PRN) Indication: - Indicated for pain management Side effects: - Sedation (Frequent) - Diaphoresis (Occasional) - Cold/Clammy skin (Occasional) - Nausea and vomiting (Occasional) - Dizziness (Occasional) - Vertigo (Occasional) - Dry mouth (Occasional) - Headache (Occasional) - Restlessness (Rare) - Emotional lability (Rare) - Paresthesia (Rare) - Flushing (Rare) - Paradoxical reaction (Rare) Adverse effects: - Abrupt withdrawal after prolonged use may produce symptoms of narcotic withdrawal (abdominal cramping, rhinorrhea, lacrimation, anxiety, fever, goosebumps). 3. ALUMINUM AND MAGNESIUM HYDROXIDE (PRN) Indications: - For ingestion Side effects: - Chalky taste - Abdominal cramps - Mild constipation - Diarrhea Adverse effects: - Hypercalcemia - Peripheral edema - Peripheral edema 4. METOCLOPRAMIDE (PRN) Indications: - Prevention of nausea and vomiting Side effects: Frequent - Drowsiness - Restlessness - Fatigue - Lethargy Occasional - Dizziness - Anxiety - Headache - Insomnia - Breast tenderness - Constipation - Rash - Dry mouth Rare - Hypotension - Hypertension - Tachycardia Adverse effects: - Restlessness Drowsiness Fatigue Dizziness 5. PICOTIN (When contraction progressed to 5-6cm dilation) Indications: - Stimulation of uterine contractions to achieve early vaginal delivery and control of postpartum bleeding or hemorrhage. Side effects: - Hypertensions, dysrhythmias, tachysystole, and uterine hyperstimulation. - Tachysystole is 6 or more uterine contractions in a 20-min window, (hyperstimulation is defined as uterine contractions lasting at least 2 mins or 5 or more contractions in 10min) Adverse effects: - Nausea, vomiting - Postpartum hemorrhage, uterine rupture.