Questions and Answers
What is the classification of Dinoprostone?
What is the route of administration for Dinoprostone?
Insert
What is the trade name for Dinoprostone?
Cervidil
What is the standard dose of Dinoprostone?
Signup and view all the answers
Which of the following are contraindications for using Dinoprostone? (Select all that apply)
Signup and view all the answers
What are common side effects of Dinoprostone?
Signup and view all the answers
What should be monitored after administering Dinoprostone?
Signup and view all the answers
When should the insert be removed?
Signup and view all the answers
What information should be provided to the patient during administration?
Signup and view all the answers
What is the duration of action for Dinoprostone?
Signup and view all the answers
How does Dinoprostone affect other oxytocics?
Signup and view all the answers
What should be monitored for assessment after administration?
Signup and view all the answers
Oxytocin should not be used during or less than ______ min after removal of the insert.
Signup and view all the answers
The patient should remain supine for how long after insertion?
Signup and view all the answers
Study Notes
Dinoprostone Overview
- Classified as a cervical ripening agent, facilitating labor by softening the cervix.
- Administered via insertion into the vagina.
Trade and Dosage
- Marketed under the trade name Cervidil.
- Standard dosage is 10 mg.
Contraindications
- Must not be used in patients with:
- History of previous cesarean section.
- Presence of Pelvic Inflammatory Disease (PID).
- Ruptured membranes.
- Concurrent usage of oxytocin.
Common Side Effects
- Potential side effects include:
- Contractions resembling menstrual cramps.
- Tachysystole (more than five contractions in ten minutes).
- Hypotension and gastrointestinal disturbances (nausea/vomiting, diarrhea).
- Severe risk: Uterine rupture.
Evaluation and Monitoring
- Post-administration, monitor:
- Frequency, duration, and intensity of contractions.
- Uterine resting tone.
- Fetal status, cervical dilation, and effacement.
Timing for Removal
- The insert should be removed:
- At the onset of active labor, indicated by cervical dilation of 6-8 cm.
Patient Education
- Educate patients about possible sensations:
- Warm feeling in the vagina during administration.
Duration of Action
- The effect of Dinoprostone lasts approximately 12 hours.
Drug Interactions
- Dinoprostone augments the effects of other oxytocics, necessitating careful monitoring.
Assessment Protocol
- Conduct comprehensive assessments regarding:
- Contraction frequency, duration, and force.
- Uterine resting tone.
- Monitoring vital signs, including temperature, pulse, and blood pressure.
- Continuous observation of fetal status and uterine activity.
Timing of Oxytocin Use
- Oxytocin should not be administered within 30 minutes following the removal of the insert.
Post-Insertion Positioning
- Patients advised to remain in a supine position for 15-30 minutes after insertion.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on Dinoprostone with these flashcards. Learn about its classification, dosage, trade name, and potential contraindications. Perfect for anyone studying pharmacology or obstetrics.
