What should you assess before giving Methergine?
What should you assess before giving Methergine?
To make sure methylergonovine is safe for you, tell your doctor if you have:
- liver or kidney disease; or.
- risk factors for coronary artery disease (such as diabetes, menopause, smoking, being overweight, having high blood pressure or high cholesterol, having a family history of coronary artery disease).
What is a contraindication for Methylergonovine?
Methylergonovine is contraindicated in patients with peripheral hypertension, is it generally not recommended for use in patients with peripheral vascular disease (including thromboangiitis obliterans (Buerger’s disease), luetic arteritis, severe arteriosclerosis, thrombophlebitis, and Raynaud’s phenomenon), coronary …
What are the side effects of methylergonovine?
Side Effects
- Blood in the urine.
- change in skin color.
- chest pain or discomfort.
- difficult or labored breathing.
- difficulty with swallowing.
- fast, pounding, or irregular heartbeat or pulse.
- hives.
- lightheadedness, dizziness, or fainting.
What precaution should you be aware of when using Methergine?
This is more likely to occur if you have diabetes, high cholesterol, or if you smoke or are overweight. Call your doctor right away if you have chest pain or discomfort, nausea or vomiting, pain or discomfort in the arms, jaw, back, or neck, trouble breathing, or sweating while using this medicine.
Why Methergine is contraindicated in hypertension?
Methylergonovine use is contraindicated in patients with hypertension. Intravenous administration of methylergonovine should not be used routinely because of the possibility of inducing sudden hypertensive crisis and cerebrovascular accidents (stroke).
Why is Methergine contraindicated in labor?
Use of Methergine is contraindicated during pregnancy because of its uterotonic effects. (See INDICATIONS AND USAGE.) The uterotonic effect of Methergine is utilized after delivery to assist involution and decrease hemorrhage, shortening the third stage of labor.
Is Methergine safe while breastfeeding?
Safe During Breastfeeding: A small amount of methylergonovine is passed to baby in breast milk. Women can take the drug for up to one week after birth. During this time not enough of the drug passes to the baby in breast milk to cause negative side effects.
How does Methergine affect blood pressure?
Methergine apparently is more likely to cause the diastolic pressure to rise, while ergonovine seems to affect the systolic pressure more frequently. With both drugs, the blood pressure effect is very rapid, occurring within one minute of administration in most cases.
Is Methergine contraindicated in asthma?
With this added information, and given that there are other readily available pharmaceutical options for the treatment of postpartum hemorrhage including Oxytocin, Misoprostol, and Methergine, the general consensus is that use of Carboprost in the asthmatic patient should be avoided when at all possible.
Why is Methergine contraindicated in breastfeeding?
Although results of several imperfect studies are somewhat mixed, it appears that methylergonovine can decrease serum prolactin and possibly the amount of milk production and duration of lactation, especially when used in the immediate postpartum period.
Why is Methergine given after delivery?
This medication is used after childbirth to help stop bleeding from the uterus. Methylergonovine belongs to a class of drugs known as ergot alkaloids. It works by increasing the rate and strength of contractions and the stiffness of the uterus muscles. These effects help to decrease bleeding.
