- Stimulate uterine contraction to cause vasoconstriction within the uterine muscle and stop bleeding
- They can also cause arterial and coronary artery vasoconstriction
- Given immediately after delivery of placenta
- Medications cause vasoconstriction and should be used with caution for patients with hypertension
- Is the medication working to decrease the bleeding?
- Pad counts
- Does the patient have hypertension?
- Due to vasoconstriction, methylergonovine should not be given to patients with HTN and other medications used with caution
- Clarify with MD if patient has any cardiac history
- Does the patient have asthma?
- Carboprost can cause bronchospasms so contraindicated
- Clarify with MD if patient has any history of asthma
- Watch for s/s MI, HTN, bradycardia, nausea, dysrhythmias
- Monitor VS per order set, especially BP
- Monitor hemorrhage and note response to med
- Therapeutic management
- May need pain meds due to painful, yet necessary, uterine cramping
- Hold and clarify if HTN develops
- Get baseline vitals before starting
- Expect painful cramping
- Necessary to stop or decrease bleeding
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nrsng.com/cornell