Questions and Answers
What is the class of Methylergonovine (Methergine)?
What is the action of Methylergonovine?
Stimulate uterine contractions, reduce bleeding
What are the uses of Methylergonovine?
Treatment of postpartum hemorrhage, stimulates uterine contractions post D&C
The usual dose of Methylergonovine is _____ mcg PO q6-12hr.
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What are some side effects of Methylergonovine?
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Methylergonovine should be given before the placenta is delivered.
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What are the nursing considerations when administering Methylergonovine?
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Study Notes
Methylergonovine (Methergine) Overview
- Classified as an oxytocic medication, Methylergonovine promotes uterine contractions.
- Effective in reducing bleeding during postpartum periods.
Mechanism of Action
- Stimulates uterine contractions to reduce bleeding after delivery.
- Also indicated for managing bleeding following dilation and curettage (D&C) procedures.
Indications
- Primarily used for treating postpartum hemorrhage.
- Supports uterine contraction to ensure the uterus expels any retained products.
Dosing
- Usual oral dose: 200-400 mcg every 6-12 hours for a duration of 2-7 days.
- Intramuscular (IM) or intravenous (IV) administration: 200 mcg every 2-4 hours, up to 5 doses.
Side Effects
- Potential adverse effects include:
- Seizures
- Hypotension (low blood pressure)
- Hypertension (high blood pressure)
- Dysrhythmias (irregular heartbeats)
Contraindications
- Must not be administered until after the placenta has been delivered.
- Not advised for patients with hypertension.
Nursing Considerations
- Monitor blood pressure, uterine contractions, and vaginal bleeding.
- Watch for signs of ergot toxicity, which include tinnitus, hypertension, palpitations, chest pain, nausea/vomiting, weakness, and cold extremities.
- Administer via deep intramuscular injection.
- Advise patients to refrain from smoking while undergoing treatment with Methylergonovine.
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Description
Test your knowledge on Methylergonovine, commonly known as Methergine, with these flashcards. Learn about its classification, actions, uses, dosing, and side effects in the treatment of postpartum hemorrhage. Perfect for medical students and healthcare professionals!
