Postpartum Meds

Question 1

oxytocin

Answer 1

pitocin

Question 2

misoprostol

Answer 2

cytotec

Question 3

methylergonovine maleate

Answer 3

methergine

Question 4

prostaglandin- carboprost

Answer 4

hemabate

Question 5

What class is Oxytocin in?

Answer 5

uterotonic, hormone

Question 6

What class is misoprostol in?

Answer 6

prostaglandin analog

Question 7

What class is methylergonovine maleate in?

Answer 7

ergot alkaloid

Question 8

What class is prostaglandin- carboprost in?

Answer 8

prostaglandin

Question 9

What is Oxytocin used for in PPH?

Answer 9

used to stimulate uterine contractions to prevent and control PPH

Question 10

What is misoprostol used for in PPH?

Answer 10

causes uterine contractions to reduce bleeding

Question 11

What is methlyergonovine maleate used for in PPH?

Answer 11

increases uterine tone to control bleeding

Question 12

What is prostaglandin- carboprost used for in PPH?

Answer 12

stimulates uterine contractions and reduces blood loss in PPH

Question 13

What are some nursing implications concerning the administration of oxytocin?

Answer 13

• monitor uterine tone and bleeding closely
• assess for water intoxication (nausea, vomiting, headache, confusion, etc)
• admin slowly to avoid hypotension

Question 14

What are some nursing implications concerning the administration of misoprostol?

Answer 14

• monitor for side effects likes diarrhea, fever, and chills
• ensure correct rectal administration
• use caution in patients with cardiovascular issues

Question 15

What some nursing implications concerning the administration of methlyergonovine maleate?

Answer 15

• contraindicated in patients with hypertension and preeclampsia
• monitor blood pressure closely
• assess for signs of vasospam (chest pain, hypertension)

Question 16

What nursing implications concerning the administration of prostaglandin-carboprost?

Answer 16

• contraindicated in patients with asthma
• monitor for diarrhea, vomiting, and fever
• administer antiemetics and antidiarrheals as needed
• monitor for respiratory distress

Question 17

What should you educate your patient on when you administer oxytocin?

Answer 17

• inform the patient that this medication helps contract the uterus to stop bleeding
• explain that cramping is normal and that the medication is used routinely for PPH

Question 18

What should you educate your patient on when you administer misoprostol?

Answer 18

• educate the patient about the possible side effects like chills and diarrhea
• reassure that these side effects usually subside after the medication has taken effect

Question 19

What should you educate your patient on when you administer methylergonovine maleate?

Answer 19

• advise the patient to report any headache or chest pain immediately
• explain that this medication can raise blood pressure and will not be given if they have high BP

Question 20

What should you educate your patient on when you administer prostaglandin- carboprost?

Answer 20

• explain to the patient that this medication helps contract the uterus but can cause nausea, vomiting, and diarrhea
• advise to inform the nurse if breathing becomes difficult

Question 21

What dose of oxytocin would you administer to your patient?

Answer 21

10- 40 units in 1,000mL IV; or 10 units IM

Question 22

What dose of misoprostol would you administer to your patient?

Answer 22

800- 1,000 mcg rectally

Question 23

What dosage of methylergonovine maleate would you administer to your patient?

Answer 23

0.2mg IM every 2-4 hours (up to 5 doses); or 0.2mg PO 3-4 times daily

Question 24

What dosage of prostaglandin- carboprost would you administer to your patient?

Answer 24

250mcg IM every 15- 90 min (up to 8 doses)