Methergine | Quizizz

1.

Open Ended

30 sec

1 pt

Indications:

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OFF

Answer explanation

Routine management after delivery of placenta and for postpartum atony, subinvolution, and hemorrhage. With full obstetric supervision, may be used during second stage of labor

2.

Open Ended

30 sec

1 pt

Class

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OFF

Answer explanation

ADRENERGIC ANTAGONIST; ERGOT; OXYTOCIC

3.

Open Ended

30 sec

1 pt

Action/Therapeutic Effect:

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OFF

Answer explanation

Ergot alkaloid induces rapid, sustained tetanic uterine contraction that ↓3rd stage of labor and ↓blood loss.

4.

Open Ended

30 sec

1 pt

...

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OFF

Answer explanation

Adm after delivery of the placenta to ↓the risk of postpartal hemorrhage.

5.

Open Ended

30 sec

1 pt

Contraindications/Precautions:

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OFF

Answer explanation

Hypersensitivity to ergot preparations; induction of labor; use prior to delivery of placenta; threatened spontaneous abortion; prolonged use; uterine sepsis; HTN; toxemia; angina; arteriosclerosis; CAD; dysfunctional uterine bleeding; eclampsia; MI; neonates; PVD; preeclampsia; Raynaud's disease; sepsis; stroke; thromboangiitis obliterans; thrombophlebitis

6.

Open Ended

30 sec

1 pt

LIFE THREATENING side effects:

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OFF

Answer explanation

shock

7.

Open Ended

30 sec

1 pt

Most frequent side effects:

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OFF

Answer explanation

n/v, Severe HTN episodes, bradycardia, ergotism

8.

Open Ended

30 sec

1 pt

Interactions (drug-drug/food):

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OFF

Answer explanation

PARENTERAL SYMPATHOMIMETICS, other ERGOT ALKALOIDS, TRIPTANS add to pressor effects and carry risk of HTN; PROTEASE INHIBITORS, itraconazole may increase the risk of toxicity

9.

Open Ended

30 sec

1 pt

Dose Range/Route:

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OFF

Answer explanation

PO 0.2 q6-8h × 2-7 days IM/IV 0.2 mg q2-4h

10.

Open Ended

30 sec

1 pt

Max daily dose: 5 doses

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OFF

Answer explanation

Onset: 5-15 min PO; 2-5 min IM; immediate IV Peak: Duration: 3 h PO/IM; 45 min IV

11.

Open Ended

30 sec

1 pt

Nursing Implications (Assessment):

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OFF

Answer explanation

Monitor BP and uterine response during and after parenteral adm until partum period is stabilized.

12.

Open Ended

30 sec

1 pt

Implementation:

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OFF

Answer explanation

BP suddenly increases or if there are frequent periods of uterine relaxation.

13.

Open Ended

30 sec

1 pt

Teaching:

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OFF

Answer explanation

Report severe cramping or ↑bleeding.Report cold or numb fingers/toes, n/v, chest/muscle pain.

14.

Open Ended

30 sec

1 pt

Misc:

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OFF

Answer explanation

Dosing should not exceed 1 wk.

15.

Open Ended

30 sec

1 pt

Medication Name:

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OFF

Answer explanation

methylergonovine maleate / Methergine

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