Syntometrine Flashcards

1
Q
  • Introduction to the drug
A
  • Used for post patnum haemorrhage within 24hrs of birth
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2
Q

Presentation of the drug

A
  • Ampoule 500mcg Ergometrine

- 5units in 1ml Oxytocin

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3
Q

Why would you prescribe the drug

A
  • Post partnum haemorrhage within 24hrs of birth with life threatening haemorrhage
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4
Q

Typical dose

A
  • 500mcg
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5
Q

Pharmacodynamics

A
  • Ergometrine and oxytocin cause the uterus to contract
  • Ergometrine acts on the 5HT receptors which cause the muscles to contract
    • Cause constrictions on vessels
  • Oxytocin stimulates constriction of smooth muscle
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6
Q

Pharmacokenitics

A
  • IM absorption
  • Widely distributed
  • Metabolised hepactically
  • Excreted Renally
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7
Q

Side Effects

A
  • Nausea and vomitting
  • Abdominal pain
  • Headache
  • Hypertension and bradycardia
  • Chest pain
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