ACTIVE LEARNING TEMPLATE: Medication MEDICATION Methylergonovine REVIEW MODULE CHAPTER ___________ CATEGORY CLASS Therapeutic (oxytocic), Pharmacologic (ergot alkaloids) PURPOSE OF MEDICATION ffddfsd Expected Pharmacological Action Therapeutic Use Complications CNS: stroke, dizziness, headache. EENT: tinnitus Resp: dyspnea CV: hypertension, arrythmias, AV block, chest pain, palpitations GI: nausea, vomiting GU: cramping Medication Administration PO (adult): 200-400 mcg q 6-12 hr fro 2-7 days IM, IV (adult): 200 mcg q2-4 hr for up to 5 doses. Contraindications/Precautions Contraindicated: hypersensitivity, OB: should not be used to induce labor. Lactation do not breast feed during treatment and for 12 hours after the last dose. Use cautiously in: hypertensive or eclamptic patients, history of or risk factors for coronary artery disease, severe hepatic or renal disease, sepsis, concurrent use of moderate CYP3A4 inhibitors. Interactions Nursing Interventions Monitor BP, HR, and uterine response frequently during medication administration. Notify health care professional promptly if uterine relaxation becomes prolonged or if character of vaginal bleeding changes. Assess for signs of ergotism (cold, numb fingers and toes, chest pain, nausea, vomiting, headache, muscle pain, and weakness) Drug-drug: excessive vasoconstriction may result when used with heavy cigarette smoking, other vasopressors such as dopamine or beta blockers. Drug-food: grapefruit juice may increase levels. Client Education Evaluation of Medication Effectiveness Contractions that maintain uterine tone and prevent postpartum hemorrhage. Instruct pt to take medication as directed, do not skip or double up on missed doses. Advise pt medication may cause menstrual like cramps. Avoid smoking because nicotine constricts blood vessels.

Methylergonovine Med Card

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