DRUGS INDICATION ACTIONS SIDE EFFECTS/ NURSING PATIENT

ADVERSE CONSIDERA- TEACHINGS

REACTIONS TIONS

Date ordered: For routine It acts directly on This drug should

Sept. 02, 2010 management after the smooth muscle The most common not be administered 1.You should not
delivery of the of the uterus and adverse reaction is I.V. routinely take this medication
Generic name: placenta; increases the tone, hypertension because of the if you have:
methylergonovine postpartum atony rate, and amplitude associated in several possibility of
maleate and hemorrhage; of rhythmic cases with seizure inducing sudden  high blood
subinvolution. contractions and/or headache. hypertensive and pressure;
Brand name: Under full obstetric through binding and Hypotension has cerebrovascular  toxemia of
Methergine supervision, it may the resultant also been reported. accidents. If I.V. pregnancy;
be given in the antagonism of the Nausea and administration is or
Classification: second stage of dopamine D1 vomiting have considered essential  if your baby
Oxytoxics labor following receptor. Thus, it occurred as a lifesaving has not yet
delivery of the induces a rapid and occasionally. Rarely measure, it should been born.
Dosage: anterior shoulder. sustained tetanic observed reactions be given slowly
One tablet, 0.2 mg, uterotonic effect have included: acute over a period of no 2.Talk with your
3 or 4 times daily in which shortens the myocardial less than 60 seconds doctor about
the puerperium for a third stage of labor infarction, transient with careful whether you should
maximum of 1 and reduces blood chest pains, arterial monitoring of blood breast-feed during
week. loss. spasm (coronary pressure. Intra- that time. You may
and peripheral), arterial or need to use a breast
bradycardia, periarterial injection pump to establish
tachycardia, should be strictly and maintain your
dyspnea, hematuria, avoided. milk flow until your
thrombophlebitis, methylergonovine
water intoxication, treatment is
hallucinations, leg finished.
cramps, dizziness,
tinnitus, nasal 3. Talk with your
congestion, doctor about
diarrhea, whether you should
diaphoresis, breast-feed during
palpitation, rash, that time. You may
and foul taste.1 need to use a breast
pump to establish
There have been and maintain your
rare isolated reports milk flow until your
of anaphylaxis, methylergonovine
without a proven treatment is
causal relationship finished.
to the drug product
4.Methylergonovine
should not be used
for longer than 1
week unless your
doctor has told you
otherwise.

5. Store
methylergonovine at
room temperature
away from light,
moisture, and heat.
 DRUGS INDICATION ACTIONS SIDE EFFECTS/ NURSING PATIENT
ADVERSE CONSIDERA- TEACHINGS
REACTIONS TIONS

Date ordered:
Sept. 02, 2010 It is used to relieve It reduces  diarrhea 1. Before having
mild to moderate inflammation and  constipation 1. If patient have any laboratory test,
Generic name: pain. It works by pain by blocking  gas or had a stomach ulcer tell your doctor and
Mefenamic acid stopping the body's production and bloating or bleeding, tell the laboratory
production of a release of chemicals  headache healthcare provider. personnel that you
Brand name: substance that that produces it and  dizziness are taking
Mefenamic causes pain, fever, inhibits  nervousness 2. Instruct patient to mefenamic acid.
and inflammation. prostaglandin  ringing in avoid alcohol
Classification: biosynthesis. the ears (includes wine, 2.Do not let anyone
NSAIDs beer, and liquor) else take your
Some side effects when taking this medication. Ask
Dosage: can be serious. medicine since it your pharmacist any
500mg, 1 capsule, can cause increases questions you have
q6º  unexplained in stomach about refilling your
weight gain irritation. prescription.
 blurred
vision 3. Use caution if the 3.It is important for
 fever patient has a you to keep a
 rash weakened heart. It written list of all of
 itching may cause increased the prescription and
 hives shortness of breath nonprescription
 swelling of or weight gain. (over-the-counter)
the eyes, Then recommend to medicines you are
face, lips, talk with healthcare taking, as well as
tongue, provider or its own any products such
throat, as vitamins,
 hands, arms,
feet ankles, physician. minerals, or other
or lower legs dietary
 difficulty 4. Avoid aspirin, supplements. You
breathing or aspirin-containing should bring this list
swallowing products, other pain with you each time
 pale skin medicines, other you visit a doctor or
 fast blood thinners if you are admitted
heartbeat (warfarin, to a hospital. It is
 excessive ticlopidine, also important
tiredness clopidogrel), garlic, information to carry
 unusual ginseng, ginkgo, with you in case of
bleeding or and vitamin E while emergencies.
bruising taking. Talk with
 lack of healthcare provider.
energy
 nausea 5. If patient is
 loss of allergic to any
appetite medicine, especially
 pain in the aspirin, or have
upper right asthma. Make sure
part of the to tell about the
stomach allergy and how it
 flu-like affected the patient
symptoms by consulting its
 yellowing of attending physician.
the skin or
eyes
 back pain
 difficult or
painful
urination