Methylergonovine is an oxytocic drug used to manage delivery of the placenta, treat postpartum atony and hemorrhage, stimulate uterine contractions during the second stage of labor, and increase uterine tone in the puerperium. It is contraindicated in patients with hypertension, toxemia, sepsis, or liver/kidney impairment. Common side effects include dizziness, headache, hypertension, nausea, and vomiting. As a nurse, responsibilities include assessing for allergies, monitoring vital signs and bleeding, administering the drug IM or orally, and discontinuing use if signs of toxicity occur.
Methylergonovine is an oxytocic drug used to manage delivery of the placenta, treat postpartum atony and hemorrhage, stimulate uterine contractions during the second stage of labor, and increase uterine tone in the puerperium. It is contraindicated in patients with hypertension, toxemia, sepsis, or liver/kidney impairment. Common side effects include dizziness, headache, hypertension, nausea, and vomiting. As a nurse, responsibilities include assessing for allergies, monitoring vital signs and bleeding, administering the drug IM or orally, and discontinuing use if signs of toxicity occur.
Methylergonovine is an oxytocic drug used to manage delivery of the placenta, treat postpartum atony and hemorrhage, stimulate uterine contractions during the second stage of labor, and increase uterine tone in the puerperium. It is contraindicated in patients with hypertension, toxemia, sepsis, or liver/kidney impairment. Common side effects include dizziness, headache, hypertension, nausea, and vomiting. As a nurse, responsibilities include assessing for allergies, monitoring vital signs and bleeding, administering the drug IM or orally, and discontinuing use if signs of toxicity occur.
Date Drawing Indication Contraindication Side Effects responsibilities Drug Route Action
10-02-19 Adults : Routine Contraindi A partial agonist or CNS: ASSESSMENT:
manageme cated with antagonist at alpha Dizzine Generic IM nt after allergy to receptorsl; as a result, ss,head History name: delivery of methylerg it increases the ache,tin - Allergy to 0.2 mg delivery methyllgonovin methylergo of the the onovine, strength,duration, and nitus,di placenta hypertensi frequency of uterine aphore e, novine placenta, after hypertension, Treatment on, contractions. sis. maleate delivery of the toxemia, of toxemia, CV: anterior lactation, sepsis,obliterat postpartum Hyperte shoulder, or atony and pregnancy nsion, ive vascular Classificati during hemorrhag Use palpitati disease,hepati on: puerperium. e; cautiously on,ches c or renal Maybe subinvolutio with t pain, impairment, Oxytocic Lactation,preg repeated every n of the sepsis, dysnea nancy. 2-4hrs. uterus. oblirative GI: Uterinebsti vascular Nausea Physical IV mulation disease, , - Uterine tone, vaginal Same dosage during hepatic or Vomitin second renal bleeding; as IM; Infuse g stage of impairmen orientation, slowly over at reflexes, Labor t. least 60sec. affect; BP, following Monitor BP the delivery edema; CBC, Name of student: Rachelle R. Donasco BSN ll
very carefully of the LFT’s, renal
as severe anterior or function tests; hypertensive shoulder, fetal reaction can under strict monitoring occur, reserve medical when used this route for supervision. during labor. INTERVENTIONS emergency situations. Administer IM injection or orally Oral unless emergency 0.2mg PO tid requires IV use. or qid daily in Complications are the puerperium more frequent for upto with IV use. 1week. Monitor postpartum women for BP changes and amount and character of vaginal bleeding. Discontinue if sings of toxicity occur. Avoid prolonged use of drug. Name of student: Rachelle R. Donasco BSN ll