GENERAL SANTOS DOCTORS' MEDICAL SCHOOL FOUNDATION INC.

NCM: 109-n RLE EXPOSURE

Area: OB Ward Inclusive Dates:

Patient: Mila Attending Physician: N/A *Students Name: Loue Jean S. Gulfan
Age and Sex: 17, female Diagnosis: Abruptio placenta Year and Section: BSN2A
Chief Complaints: acute abdominal pain and bleeding____________________ Group: SG3_______________________
DRUG STUDY METHERGINE
DRUG (Brand CLASSIFICATION MECHANISM OF INDICATION DOSAGE ADVERSE NURSING
name and ACTION (Recommended REACTIONS RESPONSIBILITIES
Generic name) and Actual)
Generic name: Therapeutic Methergine Methergine is for Intramuscularly:  Uterine Monitor:
Methylergonovine class: (methylergonovine routine 1 mL, 0.2 mg, hyperstimulation  Blood pressure, heart
maleate Oxytocics maleate) acts directly management of after delivery of  Cardiovascular rate
on the smooth muscle uterine atony, the anterior effects  Uterine tone
Brand name: Pharmacologic of the uterus and hemorrhage and shoulder, after (IV): hypo- or  Vaginal bleeding
Methergine class: Ergot increases the tone, subinvolution of delivery of the hypertension,
alkaloids Report any of the following:
rate, and amplitude of the uterus. For placenta, or Raynaud
rhythmic contractions. control of uterine during phenomenon,  Cold or numb fingers or

Thus, it induces a hemorrhage in the puerperium. palpitations, toes, nausea or

rapid and sustained the second angina, vomiting, chest or

Intravenously: muscle pain.
tetanic uterotonic stage of labor arrhythmias.
1 mL, 0.2 mg,
effect which shortens following Nausea,
administered
the third stage of labor delivery of the vomiting,
slowly over a
and reduces blood anterior abdominal pain,
loss. The onset of shoulder. period of no less diarrhea
action after I.V. than 60 seconds  Allergic
administration is reactions: skin
Orally:
immediate; after I.M. rash or swelling
administration, 2-5 of the face, lips,
One tablet, 0.2
minutes, and after oral or tongue; or
mg, 3 or 4 times
administration, 5 10 present with
daily in the
minutes. headaches,
puerperium for a
dizziness, vertigo,
maximum of 1
and tinnitus
week.
 Ergot
toxicity: nausea,
vomiting,
dyspnea;
vascular spasm,
limb
hypoperfusion,
seizures,
hallucinations,
coma
References:
https://www.rxlist.com/methergine-drug.htm#description
https://www.emedicinehealth.com/drug-methylergonovine/article_em.htm
https://www.mayoclinic.org/drugs-supplements/methylergonovine-oral-route/description/drg-20075636