DAVAO DOCTORS COLLEGE

Gen. Malvar St., Davao City

Nursing Program
By JEAR ROMERO
DRUG STUDY

Name of Patient: Patient G.J. Date of Admission: October 4, 2021 Room: DR

Age: 30 years old Sex: Female Civil Status: Single Attending Physician: Dr. Liza Dela Cuesta
Date Medication Mode of Action Dosage Indication (s) Contraindication(s Side Effects Adverse Effects Nursing Responsibilities
Ordered )
Generic Name Action Prevention and Contraindicated in: Frequent: Nausea, CVA, significant BASELINE ASSESSMENT
Methergine Increases tone, rate, PO: ADULTS: treatment of Hypersensitivity; OB: uterine cramping, arrhythmias, and Determine baseline serum calcium
amplitude of contraction 0.2 mg 3–4 postpartum or Should vomiting. seizures are all level,
Brand Name of uterine smooth times daily. postabortion not be used to induce possible outcomes B/P, pulse.
Methylergometrine muscle. Continue for up hemorrhage labor. Occasional: of severe Assess for any evidence of
Methylergonovine to 7 days. caused by Abdominal pain, hypertension bleeding before administration.
Therapeutic Effect: IV, IM: uterine atony or Use Cautiously in: diarrhea, dizziness, episodes. With pt
Produces sustained (1-tab TID X 3 subinvolution Patients with diaphoresis, susceptibility, rapid INTERVENTION/EVALUATION
Classification contractions, which days PO) hypertension or tinnitus, IV delivery, Monitor uterine tone, bleeding,
October PHARMACOTHERAPEUTIC shortens third stage eclampsia (who are bradycardia, chest concurrent use of B/P, pulse
5,2021 @ : Ergot alkaloid of labor, reduces blood ADULTS: more prone to pain. regional anesthetic, q15min until stable (about 1–2
7:00AM loss. Initially, 0.2 mg hypertensive and and hrs). Assess
after arrhythmogenic side Rare: Allergic vasoconstrictors, extremities for color, warmth,
CLINICAL: Oxytocic agent, PHARMACOKINETIC delivery of effects); Sepsis; reaction (rash, hypertensive movement,
uterine stimulant. S anterior severe hepatic or pruritus), dyspnea, consequences are pain. Report chest pain promptly.
Route:PO shoulder, after renal illness. severe or sudden more Provide
Pregnancy Category C Onset: 5–10 min delivery hypertension. common. Ischemia support with ambulation if
Peak: N/A of placenta, or Exercise Extreme in the peripheral dizziness occurs.
Duration:3 hrs during Caution in: OB: circulation can
puerperium. Third stage of labor result in gangrene.
May PATIENT/FAMILY TEACHING
repeat q2–4h • Avoid smoking: causes
as needed. increased vasoconstriction.
• Report increased
cramping, bleeding, foul-smelling
lochia.
• Report pale, cold hands/feet
(possibility of diminished
circulation)

Name: Jear F. Romero, BSN 12A Clinical Instructor: Ma’am Emvie Loyd Itable
 Lab Test Considerations: If no
response to
methylergonovine, calcium levels
may need to be
assessed. Effectiveness of
medication ispwith hypocalcemia.
● May cause serum prolactin
levels to decrease.

References: Vallerand, A. H. and Sanoski, C., (2019). Davis’ Drug Guide for Nurses. (16 th ed.). F.A. Davis Company

Name: Jear F. Romero, BSN 12A Clinical Instructor: Ma’am Emvie Loyd Itable