methylergonovine.pdf - ACTIVE LEARNING TEMPLATE Medication Rosa Giammarino STUDENT NAME Methylergonovine MEDICATION REVIEW MODULE CHAPTER_20 CATEGORY

methylergonovine.pdf - ACTIVE LEARNING TEMPLATE Medication...

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Unformatted text preview: ACTIVE LEARNING TEMPLATE: Medication Rosa Giammarino STUDENT NAME______________________________________ Methylergonovine MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER__20 __________ CATEGORY CLASS__Oxytocic _____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Directly stimulates uterine and vascular smooth muscle Therapeutic Use Controls postpartum hemorrhage Complications CNS: STROKE, dizziness, headache. EENT: tinnitus. Resp: dyspnea. CV: HYPERTEN- SION, arrhythmias, AV block, chest pain, palpitations. GI: nausea, vomiting. GU: cramps. Derm: diaphoresis. Neuro: paresthesia. Misc: allergic reactions. Medication Administration PO(Adults): 200–400mcg (0.4– 0.6mg) q6–12hr for 2–7days. IM,IV(Adults): 200mcg (0.2mg) q2–4hr for up to 5 doses. Contraindications/Precautions Hypersensitivity; OB: Should not be used to induce labor; Lactation: Do not breast feed during treatment and for 12 hours after the last dose; Hypertensive or eclamptic patients (more susceptible to hypertensive and arrhythmogenic side effects); History of or risk factors for coronary artery disease; Severe hepatic or renal disease; Sepsis; Interactions Nursing Interventions Assess uterine tone and vaginal bleeding. Do not administer to clients who have hypertension. Monitor for adverse reactions, including hypertension, nausea, vomiting, and headache Excessive vasoconstriction may result when used with heavy cigarette smoking (nicotine), other vasopressors, such as dopamine, or beta-blockers. Grapefruit juice may increase levels Client Education Evaluation of Medication Effectiveness Contractions that maintain uterine tone and prevent postpartum hemorrhage. ACTIVE LEARNING TEMPLATES Instruct the client to limit physical activity to conserve strength, to increase iron and protein intake to promote the rebuilding of RBC volume, and to take iron with vitamin C to enhance absorption. Therapeutic Procedure  A7 ...
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