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  1. Pharmacologic Class: • Ergot alkaloids. Action: Stimulates uterine muscles causing uterine contraction. Therapeutic Class: • Oxytocic. Indication: • Treatment of post-partum hemorrhage. Reason Given (Disease States): __________________________________________________________________________________________ Nursing Process.

  2. Interventions. Because of the risk of hypertension and arrhythmias, use caution during aerobic exercise and other forms of therapeutic exercise. Assess exercise tolerance frequently (BP, heart rate, respiration, fatigue levels), and terminate exercise immediately if any untoward responses occur (see Appendix L).

  3. Nursing Considerations. • can cause hypertension, cramps, nausea, vomiting, dyspnea. • monitor BP, heart rate, uterine response. • assess calcium levels – effectiveness ↓ with hypocalcemia. • monitor uterine bleeding and notify physician of any changes.

  4. Krystal Galvan Methylergonovine Maleate (Methergine) Ergot Alkaoids. Helps stop bleeding from the uterus. It helps increase the tone, rate, and amplitude of rythmitic contractions, which shortens the third stage of labor and reduces blood loss. Methergine injection into a muscle, or into a vein via IV. can also be given in tablet form.

  5. Methylergonovine. This information from Lexicomp explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider.

  6. Postpartum hemorrhage is common and can occur in patients without risk factors for hemorrhage. Active man-agement of the third stage of labor should be used routinely to reduce its incidence....

  7. 31 Οκτ 2018 · Methylergonovine. Last Revision: October 31, 2018. Estimated reading time: 7 minutes. CASRN: 113-42-8. Go to: Drug Levels and Effects. Summary of Use during Lactation. Limited information indicates that maternal doses of methylergonovine up to 0.75 mg daily produce low levels in milk.

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