Methylergonovine (Methergine) Nursing Considerations

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Kara Tarr
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Drug Card Methylergonovine (Methergine) (Cheatsheet)
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Outline

Generic Name

methylergonovine

Trade Name

Methergine

Indication

treatment of post-partum hemorrhage

Action

stimulates uterine muscles causing uterine contraction

Therapeutic Class

oxytocic

Pharmacologic Class

ergot alkaloids

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

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Transcript

Hey guys, let’s take a look at met. Orine also known as Metin. This is an injectable medication and also an oral medication. So the therapeutic class of met Orine is an oxytocin, which is how the drug works in the body. In the pharmacologic class is an ergot ALO, which is the chemical effect of the drug. So methyl Orgon works by stimulating the uterine muscle causing uterine contraction, which is why we use it for the treatment of postpartum hemorrhage. So some of the side effects that we see with met Orine are things like hypertension, cramping, nausea, and vomiting. 

Let’s take a look at some of the nursing considerations for met. Orine be sure to monitor the patient’s blood pressure, heart rate, uterine response in Ute bleeding, and be sure to report changes to the provider. Before you give this drug to your patient, check their calcium level, because with decreased calcium levels, the effectiveness of Meine is decreased. Along with the side effect already mentioned Meine can cause difficulty breathing in the patient. So guys, we should always be using our personal protective equipment as nurses, but it is increasingly important with giving meth Orine as this drug is known for being a haz hazardous agent. So be safe, use gloves, mask gown when administer, and in fact, this drug should be mixed under a protective hood in the pharmacy. That’s it for meth Orine or met now go out and be your best self today and as always happy nursing.

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Clotting

Concepts Covered:

  • Hematologic Disorders
  • Labor Complications
  • Postpartum Complications
  • Cardiac Disorders
  • Medication Administration
  • Vascular Disorders
  • Disorders of Thermoregulation

Study Plan Lessons

Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Blood Transfusions (Administration)
Disseminated Intravascular Coagulation (DIC)
Anti-Platelet Aggregate
Thrombolytics
Abruptio Placentae (Placental abruption)
Abruptio Placentae (Placental abruption)
Epoetin Alfa
Meds for Postpartum Hemorrhage (PPH)
Thrombolytics
ASA (Aspirin) Nursing Considerations
Clopidogrel (Plavix) Nursing Considerations
D-Dimer (DDI) Lab Values
Disseminated Intravascular Coagulation (DIC)
Disseminated Intravascular Coagulation Case Study (60 min)
Emergent Delivery for Certified Emergency Nursing (CEN)
Enoxaparin (Lovenox) Nursing Considerations
Fibrin Degradation Products (FDP) Lab Values
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Methylergonovine (Methergine) Nursing Considerations
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)