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    Methergine

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    Kureaa Oh
    Methergine is used to manage and prevent postpartum and postabortal hemorrhage by producing firm uterine contractions and decreasing bleeding. It should not be used in pregnancy, toxemia, hypertension, ergot hypersensitivity, or before delivery of the placenta due to risks of vasospasm. Nurses should monitor for signs of vasospasm when administering Methergine and ensure no drug interactions with antifungals, clarithromycin, erythromycin, or protease inhibitors which can increase this risk. They should also assess uterine tone and bleeding levels and monitor for signs of improved bleeding control or side effects like severe cramping.

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    Methergine

    Uploaded by

    Kureaa Oh
    4K views2 pages
    Methergine is used to manage and prevent postpartum and postabortal hemorrhage by producing firm uterine contractions and decreasing bleeding. It should not be used in pregnancy, toxemia, hypertension, ergot hypersensitivity, or before delivery of the placenta due to risks of vasospasm. Nurses should monitor for signs of vasospasm when administering Methergine and ensure no drug interactions with antifungals, clarithromycin, erythromycin, or protease inhibitors which can increase this risk. They should also assess uterine tone and bleeding levels and monitor for signs of improved bleeding control or side effects like severe cramping.

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    Methergine is used to manage and prevent postpartum and postabortal hemorrhage by producing firm uterine contractions and decreasing bleeding. It should not be used in pregnancy, toxemia, hypertension, ergot hypersensitivity, or before delivery of the placenta due to risks of vasospasm. Nurses should monitor for signs of vasospasm when administering Methergine and ensure no drug interactions with antifungals, clarithromycin, erythromycin, or protease inhibitors which can increase this risk. They should also assess uterine tone and bleeding levels and monitor for signs of improved bleeding control or side effects like severe cramping.

    Copyright:

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    Download as docx, pdf, or txt
    4K views2 pages

    Methergine

    Uploaded by

    Kureaa Oh
    Methergine is used to manage and prevent postpartum and postabortal hemorrhage by producing firm uterine contractions and decreasing bleeding. It should not be used in pregnancy, toxemia, hypertension, ergot hypersensitivity, or before delivery of the placenta due to risks of vasospasm. Nurses should monitor for signs of vasospasm when administering Methergine and ensure no drug interactions with antifungals, clarithromycin, erythromycin, or protease inhibitors which can increase this risk. They should also assess uterine tone and bleeding levels and monitor for signs of improved bleeding control or side effects like severe cramping.

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    Name of Drug Classification & Indication Contraindication & Adverse Drug to Drug Interaction Nursing Responsibilities

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    Methergine Classification: Contraindication: Antifungals like: 1. Before administering the


    (Methylergonovine Maleate) PC: Ergot Alkaloid and  Pregnancy  Azole methergine, give only if
    Derivative  Toxemia (litraconazole, the solution is clear and
    Dosage: TC: oxytoxic, lactation  Hypertension ketoconazole, colorless; discard if
    0.6 mg/3 ml stimulant  Ergot hypersensitivity vericonazole) – ampule is discolored.
     To include labor and Increase risk of 2. Note reason for therapy.
    Preparation: Indication: spontaneous vasospasm leading to List drug prescribe to
    Intramascular Management and abortions. cerebral ischemia or ensure none interact.
    prevention of postpartum  Administration before ischemia of 3. Assess fundal tone and
    and postabortal hemorrhage delivery of placenta. extremities; do not nonphasic contractures,
    by producing firm uterine  Use with CYP3A4 use together. massage to check for
    contractions and decreasing inhibitors.  Clarithomycin – relaxation or severe
    uterine bleeding. Increase risk of cramping.
    Indication: vasospasm leading to 4. Monitor Vital Signs, CBC,
     Headache cerebral ischemia or and calcium; Correct if
     Dizziness ischemia of low to improve drug
     Sweating extremities; do not effectiveness and assess
     Nasal Congestion use together. for decrease milk
     Leg cramps  Erythomycins – production.
    Increase risk of 5. Report frequency,
    vasospasm leading to amount, color, any
    cerebral ischemia and associated S&S. Ensure
    ischemia of placenta completely
    extremities; do not passed or removed.
    use together. 6. Take only directed and
     Protease inhibitors do not exceed dosage
    – increase risk of 7. Report any severe
    vasospasm leading to cramping, headaches, or
    cerebral ischemia or increase bleeding.
    ischemia of 8. Evaluate for improved
    extremities; do not uterine tone and control
    use together. of postpartum
    hemorrhage.

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