PHINMA-UNIVERSITY OF ILOILO

COLLEGE OF ALLIED HEALTH SCIENCES

Nursing Department

DRUG STUDY
THERAPEUTIC NURSING
MEDICATION ACTIONS INDICATIONS CONTRAINDICATIONS SIDE EFFECTS RESPONSIBILITIES/PRECAUTIONS
GENERIC NAME: Methergine Prevention/treatment Hypertension, ○ Frequent nausea ○ Determine calcium level, Blood pressure,
Methylergonovine (methylergonovine of postpartum, post- Pregnancy, toxemia, ○ Uterine cramping and pulse
maleate) acts directly abortion hemorrhage concurrent use with ○ Vomiting ○ Assess for any evidence of bleeding
on the smooth muscle due to atony, CYP3A4 inhibitors(e.g., ○ Abdominal pain before administration.
BRAND NAME: of the uterus and involution(not for protease inhibitor) ○ Diarrhea ○ Monitor uterine tone and bleeding
Methergine increases the tone, induction, ○ Dizzines ○ Assess extremities for color, warmth,
rate, and amplitude of augmentation of movement, pain. Report if chest pain
rhythmic contractions. labor) occur.
Thus, it induces a ○ Avoid smoking because of needed
rapid and sustained vasoconstriction.
CLASSIFICATION: tetanic uterotonic ○ Report increased cramping, bleeding,
Ergot alkaloids effect which shortens foul-smelling lochia.
the third stage of labor ○ Report pale, cold hands/feet (possibly of
ROUTE: and reduces blood diminished circulation.
Intramuscular (IM) / loss. The onset of
Intravenous (IV)/ Oral action after I.V.

DOSAGE/FREQUENCY:
IV/IM: 0.2mg/mL
Tablet: 0.2mg

PREPARED BY: __ _Tapucay, Yesha Ella M _ _ NOTED BY: ____ _ _ _ _ _ __ _ _

STUDENT’S NAME CLINICAL INSTRUCTOR