Comprehensive Nursing Pharmacology Q 275

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Methylergonovine (Methergine) is prescribed to a patient who is having postpartum bleeding. Prior to giving the medication, the nurse contacts the physician who prescribed the medication if which of the following condition is documented in the patient’s chart?

  

     A. Hypotension

     B. Uterine atony

     C. Ischemic heart disease

     D. Acute Gastroenteritis

    

    

Correct Answer: C. Ischemic heart disease.

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Methergine (methylergonovine maleate) is a semi-synthetic ergot alkaloid used for the prevention and control of postpartum hemorrhage. Ergot alkaloids are contraindicated in patients with cardiovascular diseases such as ischemic heart disease, stroke, peripheral vascular disease, rheumatic heart disease.

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Options A, B, & D: These are not contraindicated with the use of methergine.

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