postpartum uterine bleeding Initial 250 mcg IM then repeat hrs prn

Postpartum uterine bleeding initial 250 mcg im then

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postpartum uterine bleeding) Initial: 250 mcg IM; then repeat every 1.5-3.5 hrs. prn (for abortion) Indications/Therapeutic Use: For refractory postpartum uterine bleeding and abortion Interactions/Incompatibilities: Other oxytocic agents and recurrent use is not recommended Adverse Reactions: - HA - Nausea/Vomiting - Diarrhea - Uterine Rupture - Dyspnea - Fever - Flushing Mechanism of Action: A synthetic prostaglandin that binds to prostaglandin E2 receptors causing myometrial contractions, which can produce an abortion if given the 13 th or 20 th weeks of pregnancy. Contraindications/Precautions/Warnings: Hx of asthma, hypotension, hypertension, cardiovascular, adrenal renal or hepatic disease. Hx of anemia, jaundice, and diabetes. Evaluation of Medication Effectiveness: - Decrease in uterine bleeding - Stimulation of myometrial contractions Patient/Client Education: - Report any of serious side effects - Making sure to explain to the patient that this medication is a Pregnancy Category C Nursing Considerations: - Observe carefully for reports of wheezing and chest pain - Monitor for contractions - Monitor vaginal bleeding - Monitor for excessive adverse effects such as cramping, diarrhea, nausea and vomiting Dosages/Medication Administration: Recommended initial dose: 25 mcg, insert intravaginally into the posterior vaginal fornix using the tips of index finger, repeat every 4 hrs or until effective contraction pattern is established Indications/Therapeutic Use: Pre-induction cervical ripening, and to induce labor. Interactions/Incompatibilities: Antacids, Vitamins, Aspirin, and arthritis medications Adverse Reactions: - Nausea - Vomiting - Diarrhea - Fever - Uterine tachysystole - Fetal passage of meconium Mechanism of Action: PGE ripens the cervix, making it softer and causing it to begin to dilate and efface; it stimulates uterine contractions. Contraindications/Precautions/Warnings: Warning: Should not be given to a woman of childbearing age to reduce the risk of ulcers by NSAID’s, can cause birth defects and premature birth. Evaluation of Medication Effectiveness: - Increase in contractions - Softer cervix Patient/Client Education: Nursing Considerations: - Assess the woman and fetus before insertion, and during treatment - Use caution in women with renal failure b/c the medication is eliminated through the kidneys - Assist the woman to maintain supine position with a lateral tilt for 30-40 mins after insertion - Initiate oxytocin for induction of labor no sooner than 4 hrs. after Cytotec was given Dosages/Medication Administration: ER Tablets, Adults: 30-60 mg daily increased or decreased over 7-14 days based on patient’s response. Maximum: 90 mg daily. Indications/Therapeutic Use: HTN (in laboring women, and management of angina Interactions/Incompatibilities: Anesthetics, Anti-viral drugs, Beta Blockers, Calcium supplements, Estrogens Adverse Reactions: - Anxiety - HA - Cough - Arrythmias - Blurred Vision Anorexia - Nocturia - Anemia Mechanism of Action: Inhibits contraction of smooth muscle to treat preterm labor by slowing contractions, also slows the movement of
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