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 induce uterine contractions?
Oxytocin is the first-line medication for preventing and treating postpartum hemorrhage due to uterine atony, but it may not be effective in some cases.
Carboprost tromethamine (Hemabate) is a prostaglandin that stimulates uterine contractions and reduces bleeding. It is used for postpartum hemorrhage when other medications such as oxytocin (Pitocin) are ineffective or contraindicated.
Methylergonovine maleate (Methergine) is an ergot alkaloid that also induces uterine contractions, but it has more side effects and contraindications than prostaglandins.
Misoprostol (Cytotec) is another prostaglandin that can be used for postpartum hemorrhage, but it is less effective and has more adverse effects than carboprost tromethamine.
Carboprost tromethamine (Hemabate) is a prostaglandin that stimulates uterine contractions and reduces bleeding. It is used for postpartum hemorrhage when other medications such as oxytocin (Pitocin) are ineffective or contraindicated.
Choice A is wrong because oxytocin is the first-line medication for preventing and treating postpartum hemorrhage due to uterine atony, but it may not be effective in some cases.
Choice C is wrong because methylergonovine maleate (Methergine) is an ergot alkaloid that also induces uterine contractions, but it has more side effects and contraindications than prostaglandins.
Choice D is wrong because misoprostol (Cytotec) is another prostaglandin that can be used for postpartum hemorrhage, but it is less effective and has more adverse effects than carboprost tromethamine.