Drug Study: Injection May Result in
Drug Study: Injection May Result in
Drug Name Classification and Indications and Side Effects and Adverse Special Precautions Nursing Responsibilities
Mechanism of Action Contraindications Effects
Generic Name: Methergine Classifications: Indications: Side Effects: ● Observe 10 Rights in giving or
Meleate * Ergot Alkaloid *Following delivery of placenta, Nausea, vomiting, stomach *Should be given slowly administering medication.
for routine management of pain, diarrhea, increased over a period of no less ● -Monitor vital signs (particularly
uterine atony, hemorrhage and sweating, skin rash, than 60 seconds with BP) and uterine response during
Trade/ Brand Name: subinvolution of the uterus. *For headache, stuffy nose careful monitoring of and after parenteral administration
Methergine Mechanism of control of uterine hemorrhage in blood pressure. of methylergonovin e until partum
Actions: the second stage of labor Adverse Effects: period is stabilized (about 1–2 h).
It acts directly on the following delivery of the anterior Chest pain, dyspnea, *Intra-arterial or -Notify physician if BP suddenly
Dosage: smooth muscle of the shoulder. headache, hematuria, periarterial injection increases or if there are frequent
0.2mg/ml uterus and increases thrombophlebitis, water should be strictly avoided. periods of uterine relaxation.
the tone, rate, and Contraindications: intoxication, hallucinations, ● Instruct the patient or family to
amplitude of rhythmic *Conditions like blockage or leg cramps, dizziness, *Caution should be report severe cramping for
Route: contractions. Thus, it narrowing of mitral heart tinnitus, nasal congestion, exercised in injection may increased bleeding.
IM induces a rapid and valvehigh blood pressure diarrhea, diaphoresis, result in the presence of ● Instruct to report any of the
sustained tetanic *a heart attack palpitations, foul taste. sepsis, obliterative following: Cold or numb fingers
uterotonic effect *coronary artery disease vascular disease. or toes, nausea or vomiting, chest
Frequency and Timing which shortens the *a stroke -a blockage of the or muscle pain.
ordered by doctor third stage of labor arteries called arteriosclerosis *Also use with caution ● Explain and educate patient not to
and reduces blood obliterans *serious numbness or during the second stage of breast feed while taking this drug.
loss. prickling or tingling of fingers labor. The necessity for ● Inform patient about some adverse
and toes manual removal of a effect to avoid panic and stress.
*liver problems retained placenta should
*decreased kidney function occur only rarely with
*seizures proper technique and
*increased cardiovascular event adequate allowance of
risk time for its spontaneous
*sepsis separation