Hyper toddlers?

Anyone with hyper toddlers, what do you do to keep them distracted or calm while at the dr office, or even out running errands? Today I forgot to bring the double stroller and they were all over the place. Jumping up and down on the chairs, yelling, running around and I am 8 months pregnant so it was hard to keep them still. I tried to talk to them, and tell them they are not being good, giving them a book, a tablet, snacks, I even took them outside and popped the but. Do not say crap because I am a believer in a good old fashion butt spank. My husband is overseas so its just me and the girls...but I just wanted to break down today. I even had the nurse come out and tell me “It is okay to go outside for a bit with them we will come get you when its time.” Which I am sure it means please take your kids outside they are going crazy in here😭😭 It is one of those day...