Medical interventions
Medical interventions ( 5 Questions)
A nurse is caring for a client who is experiencing postpartum hemorrhage.
Which medication should the nurse anticipate administering to enhance uterine tone?
Oxytocin is the first-line drug for preventing and treating postpartum hemorrhage due to uterine atony, but it may not be enough to enhance uterine tone in some cases.
Carboprost tromethamine (Hemabate) is a prostaglandin that stimulates uterine contractions and reduces bleeding. It is used when other uterotonic medications such as oxytocin (Pitocin) or methylergonovine maleate (Methergine) are ineffective or contraindicated.
Methylergonovine maleate is an ergot alkaloid that causes sustained uterine contractions, but it has more side effects and contraindications than oxytocin, such as hypertension, nausea, vomiting and headache.
Misoprostol (Cytotec) is a synthetic prostaglandin E1 analogue that can be used orally, sublingually, rectally or vaginally to induce uterine contractions, but it is less effective and has more adverse effects than oxytocin or carboprost tromethamine.
Carboprost tromethamine (Hemabate) is a prostaglandin that stimulates uterine contractions and reduces bleeding. It is used when other uterotonic medications such as oxytocin (Pitocin) or methylergonovine maleate (Methergine) are ineffective or contraindicated.
Choice A is wrong because oxytocin is the first-line drug for preventing and treating postpartum hemorrhage due to uterine atony, but it may not be enough to enhance uterine tone in some cases.
Choice C is wrong because methylergonovine maleate is an ergot alkaloid that causes sustained uterine contractions, but it has more side effects and contraindications than oxytocin, such as hypertension, nausea, vomiting and headache.
Choice D is wrong because misoprostol (Cytotec) is a synthetic prostaglandin E1 analogue that can be used orally, sublingually, rectally or vaginally to induce uterine contractions, but it is less effective and has more adverse effects than oxytocin or carboprost tromethamine.