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23.05 Methylergonovine (Methergine)

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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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