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OB/LD CU NSG 3010
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Cytotec (misoprostol)
Prostaglandin
Postpartum hemorrhage (uterine atony)
Rectal, PO, Sublingual
Contraindications & Cautions
Not be used to prevent NSAID-induced gastric injury due to potential for fetal harm or death. May cause severe diarrhea in the nursing infant. Hypersensitivity to prostaglandins.
Side effects
Abd. pain
Diarrhea
Miscarriage
Constipation
Dyspepsia
Flatulence
N/V
Menstrual disorders
HA
NSG considerations
educate pt on side effects
Not 1st or 2nd line treatment
Lysteda (transexamic acid/TXA)
antifibrinolytic agent
postpartum heorrhage
IV
Considerations & Cautions
thromboembolic disoders
acquired defective color vision
Caution
renal impairment
hematuria
use of hormonal contraceptive
Side effects
HA
pain
seizures
anaphylaxis (PO usually)
visual abnormalities
HoTN
thromboembolism
N/V/D
NSG Consisderations
give first few hours after delivery to inhibit enzymatic breakdown of fibrin blood clots
Methergine (methylergonovine)
Uterine stimulant (oxytocic)
Methergine (methylergonovine)
Postpartum Hemorrhage: Stimulates sustained/tetanic contraction of the uterus
Methergine (methylergonovine)
Avoid if patient has elevated blood pressure
Methergine (methylergonovine)
Raises patient BP/HTN,
Stroke, N/V, cramps
Methergine (methylergonovine)
Common second choice drug for uterine atony