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Sunday, November 16, 2008

What is methylergonovine (Methergine)?

- Methylergonovine is an ergot alkaloid used for postpartum hemorrhage. It stimulates contraction of the uterus and causes arterial vasoconstriction.

Contra Indications: Ergot alkaloids are avoided in clients with significant cardiovascular disease, peripheral disease, hypertension, eclampsia, or preeclampsia. These conditions are worsened by the vasoconstrictive effects of the ergot alkaloids.

*The nurse would assess the client’s blood pressure before administering the medication and would follow agency protocols regarding withholding of the medication.

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