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    Drug Study Methergine

    Uploaded by

    Jahmil Dulatre
    This document summarizes information about the drug Methylergonovine maleate (brand name Methergine). It acts directly on the smooth muscle of the uterus to increase tone, rate, and amplitude of contractions. It is used to actively manage the third stage of labor and treat postpartum bleeding. Common side effects include nausea, vomiting, and abdominal pain. Nurses are responsible for monitoring vital signs and calcium levels, assessing fundal tone and contractions, and educating patients and their families. The drug is administered orally for uterine involution and bleeding, or intravenously or intramuscularly for management of the third stage of labor or uterine atony/hemorrhage.

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    Drug Study Methergine

    Uploaded by

    Jahmil Dulatre
    315 views2 pages
    This document summarizes information about the drug Methylergonovine maleate (brand name Methergine). It acts directly on the smooth muscle of the uterus to increase tone, rate, and amplitude of contractions. It is used to actively manage the third stage of labor and treat postpartum bleeding. Common side effects include nausea, vomiting, and abdominal pain. Nurses are responsible for monitoring vital signs and calcium levels, assessing fundal tone and contractions, and educating patients and their families. The drug is administered orally for uterine involution and bleeding, or intravenously or intramuscularly for management of the third stage of labor or uterine atony/hemorrhage.

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    This document summarizes information about the drug Methylergonovine maleate (brand name Methergine). It acts directly on the smooth muscle of the uterus to increase tone, rate, and amplitude of contractions. It is used to actively manage the third stage of labor and treat postpartum bleeding. Common side effects include nausea, vomiting, and abdominal pain. Nurses are responsible for monitoring vital signs and calcium levels, assessing fundal tone and contractions, and educating patients and their families. The drug is administered orally for uterine involution and bleeding, or intravenously or intramuscularly for management of the third stage of labor or uterine atony/hemorrhage.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    315 views2 pages

    Drug Study Methergine

    Uploaded by

    Jahmil Dulatre
    This document summarizes information about the drug Methylergonovine maleate (brand name Methergine). It acts directly on the smooth muscle of the uterus to increase tone, rate, and amplitude of contractions. It is used to actively manage the third stage of labor and treat postpartum bleeding. Common side effects include nausea, vomiting, and abdominal pain. Nurses are responsible for monitoring vital signs and calcium levels, assessing fundal tone and contractions, and educating patients and their families. The drug is administered orally for uterine involution and bleeding, or intravenously or intramuscularly for management of the third stage of labor or uterine atony/hemorrhage.

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    DRUG STUDY

    NAME: DATE: 2/19/2022 BLOCK: UP-FC2-BSN2-12 HOSPITAL/AREA: NA


    CLINICAL INSTRUCTOR:
    NAME OF THE MECHANISM CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS NURSING RATIONALE
    DRUG OF ACTION RESPONSIBILITIES

    Generic name Acts directly on the 1ST stage and 2nd stage of Nausea Common: Assess calcium level Hypocalcemia must be
    smooth muscle of labor before crowning of Vomiting  Abdominal pain w/ before administering corrected to increase drug
    the uterus and head, primary and Stomach pain large doses therapy. effectiveness
    increases the tone, secondary uterine inertia. Diarrhea  Hypertension
    Methylergonovine rate, and amplitude Patient with severe Leg cramps  Headache
    maleate of rhythmic hypertension, pre- Increased sweating  Skin eruption
    contractions. It eclampsia, eclampsia, Headache Uncommon:
    Brand name includes rapid, severe or persistent sepsis, Dizziness Monitor vital signs. In administering
     Dizziness Methylergonovine maleate
    Methergine sustained tetanic vascular disease, impaired Ringing in your ears  Nausea
    uterotonic effects hepatic and renal function. Skin rush it is important to note for
     Vomiting the changes that may
    that shortens the Hypersensitivity of ergot Stuffy nose
     Convulsion indicate hemorrhage. And
    third stage of labor alkaloids. unpleasant taste in
    and reduce blood your mouth  Sweating immediately report any
    loss.  Chest pain recognized abnormality.
    Classification  Hypotension
    Ergot alkaloids Rare: Assessment of fundal tone,
     Bradycardia assess and document contractions, and
     Tachycardia fundal tone, non-phasic cramping help to identify
     Palpitations contractions and check and abnormality occur
     Arterial spasm contractions. during 3rd stage of labor.
    Very rare:
    Indication Nausea, vomiting,
    Active management of  Anaphylactic
    Assess for ergotism weakness, muscular pain,
    third stage of labor, reaction
    (overdose). insensitivity to cold and
    interior hemorrhage  Hallucinations paresthesia to determine
    following separation of  Myocardial dose adjustment or drug
    placenta and uterine infractions withdrawal.
    atony, subinvolution of  Arteriospasm
    puerperal uterus, coronary Administration of this
    iochiometra, caesarian  Thrombophlebitis drug therapy may alter
    section, menorrhagia,  Nasal congestion Monitor prolactin levels breast milk production.
    and assess for decreased
    metrorrhagia, post-  Diarrhea breast milk production.
    partum and post-abortal  Muscle cramp Educating the patient is
    uterine bleeding. Assess patient’s and important to have a good
    family’s knowledge of communication for
    drug therapy. administering drug therapy
    and lessen the anxiety.
    Dosage & frequency

    Tablet
    Promotion of uterine
    involution: 1 tablet
    3x/day for 3-5 days.

    Puerperal bleeding
    subinvolution,
    iochiometra, functional
    uterine bleeding: 1-2
    tablet3x/day.

    Ampule
    Active management of
    3rd stage of labor: 100-
    200 mcg slow IV.

    Uterine
    atony/hemorrhage: 200
    mcg IM or 100-200
    mcg slow IV. Maybe
    repeated every 2-4 hrs,
    if necessary up to 5
    doses w/in 24 hours.

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