PHINMA - UNIVERSITY OF ILOILO

COLLEGE OF ALLIED HEALTH SCIENCES

Nursing Department

DRUG STUDY
THERAPEUTIC NURSING
MEDICATION INDICATIONS CONTRAINDICATIONS SIDE EFFECTS
ACTIONS RESPONSIBILITIES/PRECAUTIONS
GENERIC NAME: The active management Active management of Hypersensitivity to any of the headache -In breech presentations and other abnormal
Syntometrine of the third stage of the third stage of labor components. dizziness presentations, Syntometrine should not be given
labour (as a means to (in order to facilitate Pregnancy and labour (induction an irregular or slow until after delivery of the child, and in multiple
BRAND NAME: promote separation of separation of the of labour, first stage labour and heartbeat births not until the last child has been delivered
Oxytocics the placenta and to placenta and to reduce second stage labour prior to the chest pain -Ergometrine derivatives are excreted in breast
reduce blood loss), or blood loss). Prevention delivery of the anterior shoulder) high blood pressure milk but in unknown amounts. It can also
CLASSIFICATION: routinely, following the and treatment of due to the risk of uterine feeling or being sick suppress lactation, so repeated use should be
Syntometrine combines birth of the placenta, to postpartum hemorrhage hypertonus and associated fetal stomach pain avoided
the known sustained prevent or treat associated with uterine complications (see Use in rash
oxytocic action of postpartum hemorrhage. atony. Pregnancy & Lactation).
ergometrine with the Severe hypertension, pre-
more rapid action of eclampsia, eclampsia.
oxytocin on the uterus. Severe cardiac disorders.
Severe, hepatic or renal
impairment.
ROUTE:
Occlusive vascular disease.
Intramuscular injection
Sepsis.
DOSAGE/
FREQUENCY:
Intramuscular injection
is the recommended
route. Intravenous
administration of
Syntometrine (0.5 to 1
mL by slow injection) is
possible, but not
normally recommended
and should be limited to
use only in cases of
severe haemorrhage
due to uterine atony.
PREPARED BY: Billones, Rica S.

CLINICAL INSTRUCTOR: