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font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; display: inline-block; text-indent: 0; width: 0.150in; } </style></head><body><div><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">DEPARTMENT</span><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> OF HEALTH</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">CERTIFIED PROFESSIONAL MIDWIVES</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">DRUG FORMULARY</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Chapter </span><a href="https://sdlegislature.gov/Rules?Rule=20:86:03"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">20</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">:</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">86</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">:</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">03</span></a></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">APPENDIX A</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0">SEE: </span><a href="https://sdlegislature.gov/Rules?Rule=20:86:03:11"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">20:86:03:11</span></a></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0-000001"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0">    </span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000003">Source:</span><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> 45 SDR 31, effective September 10, 2018</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">; 48 SDR 115, effective May 23, 2022</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">.</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000004"><br />&#x200e;</span><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><div align="left"><table dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99000005"><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000003">Drug</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000003">Indication</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000003">Dose</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000003">Route of Administration</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000003">Duration of Treatment</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Phylloquinone</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">(Vitamin K</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0"><sub>1</sub></span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Prophylaxis for Vitamin K</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">deficiency</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">bleeding</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">1 mg</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Intramuscularly</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">1 dose</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Oxytocin (Pitocin)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Postpartum</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">hemorrhage only</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">10 units/ml</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Intramuscularly</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">only</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><a href="https://sdlegislature.gov/Statutes?Statute=1-2"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">1-2</span></a><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> doses. Transport to</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">hospital required if more</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">than two (2) doses are</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">administered.</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Misoprostol</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Note: This is an appropriate off label use of this drug.</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Postpartum</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">hemorrhage only</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">200 microgram</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">tabs, at 800</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">micrograms per</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">dose (4 tabs)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Rectal or</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">sublingual, or</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">may be used as</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">½ rectally and</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">½</span><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> sublingually</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><a href="https://sdlegislature.gov/Statutes?Statute=1-2"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">1-2</span></a><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> doses. Transport to</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">hospital required if more than</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">2 doses are administered. Not to exceed 800 micrograms.</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Methylergonovine</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">(Methergine)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Postpartum</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">hemorrhage only</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">0.2mg</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Intramuscular</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">or orally</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Single dose. Every six hours, may repeat</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">3 times. Contraindicated in hypertension and Raynaud's Disease.</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Lidocaine HCL</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">1% or 2%</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Local anesthetic for use during postpartum repair</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">of lacerations or episiotomy</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Maximum 50 ml (1%)</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Maximum 15 ml (2%)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Precutaneous infiltration only</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Completion of repair</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Penicillin G</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">(Recommended)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Group B Strep</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Prophylaxis</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">5 million units initial dose, then 2.5 million units every 4 hours until birth</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0">IV in </span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000008">&gt;</span><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> 100 ml LR, NS or</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">D</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0"><sub>5</sub></span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">LR</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Until birth of baby</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Ampicillin</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Sodium</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">(Alternative)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Group B Strep</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Prophylaxis</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">2 grams initial dose, then 1 gram every 4 hours until birth</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0">IV in </span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000008">&gt;</span><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> 100ml NS</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Until birth of baby</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Cefazolin Sodium</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Group B Strep</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Prophylaxis</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">2 grams initial dose, then 1 gram every 8 hours</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0">IV in </span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000008">&gt;</span><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> 100 ml LR, NS or</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">D</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0"><sub>5</sub></span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">LR</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Until birth of baby</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Clindamycin</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Phosphate</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Group B Strep Prophylaxis</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">900 mg every 8 hours</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0">IV in </span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000008">&gt;</span><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> 100 ml</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">NS or LR</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Until birth of baby</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Lactated Ringers</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">(LR)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">To administer group B Strep Prophylaxis</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Intravenous catheter</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">5% Dextrose in</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Lactated Ringer's</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">solution (D</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0"><sub>5</sub></span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">LR)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">To administer</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">group B Strep</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Prophylaxis</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Intravenous</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">catheter</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">0.9% Sodium</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Chloride (NS)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">To administer group B Strep Prophylaxis</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Intravenous catheter</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Oxygen</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Maternal/Fetal Distress, or Neonatal Resuscitation</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><a href="https://sdlegislature.gov/Statutes?Statute=10-12"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">10-12</span></a><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> L/min</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">10 L/min</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Mask or bag and mask</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Until stabilization is achieved or transfer to a hospital is complete</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">0.5%</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Erythromycin Ophthalmic Ointment</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Prophylaxis of Neonatal Opthalmia</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">1 cm ribbon in each eye</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Topical</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">1 dose</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Rh(D) Immune Globulin</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Prevention of RH(D) sensitization in Rh(D) negative women</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">300 mcg</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Intramuscularly</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Single dose at any gestation for Rh(D) negative, antibody negative women within 72 hours of spontaneous bleeding or abdominal trauma.</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Single dose at 26-28 weeks gestation for Rh(D) negative, antibody negative women.</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Single dose for Rh(D) negative, antibody negative women within 72 hours of delivery of Rh(D) positive infant, or infant with unknown blood type.</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Tranexamic Acid (TXA)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Postpartum Hemorrhage</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">To be used when initial anti-hemorrhagic therapies fail and with notification of local medical support</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">100 mg/ml (1g)</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">IV at 1 ml per minute</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">2nd dose if bleeding continues past 30 min or restarts within 24 hours</span></p></td></tr><tr><td class="s397471c8-b981-4380-81f6-36ef6189bf99000006"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">IV Fluids</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99000009"><span class="s397471c8-b981-4380-81f6-36ef6189bf99000010">·</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Lactate Ringers (LR)</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99000009"><span class="s397471c8-b981-4380-81f6-36ef6189bf99000010">·</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">.45% Saline</span></p><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99000009"><span class="s397471c8-b981-4380-81f6-36ef6189bf99000010">·</span><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">.9% Normal Saline</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Postpartum Hemorrhage</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">Infuse 1 liter at wide-open rate</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0">IV line with </span><a href="https://sdlegislature.gov/Statutes?Statute=16-18"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0-000002">16-18</span></a><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99C0"> gauge needle</span></p></td><td class="s397471c8-b981-4380-81f6-36ef6189bf99000007"><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span class="s397471c8-b981-4380-81f6-36ef6189bf99C0">After first liter, a second liter may be titrated to client's condition. With the start of the second liter, transport to hospital is required and local medical support will be notified.</span></p></td></tr></table></div><p dir="ltr" class="s397471c8-b981-4380-81f6-36ef6189bf99P0"><span xml:space="preserve" class="s397471c8-b981-4380-81f6-36ef6189bf99000000"> </span></p></div></body></html>