Med used for a bleedout

Jolie, BSN · Sep 4, 2003

Are you referring to Pitocin? Methergine is also used (IM) and Cytotec can be given rectally.

imenid37 · Sep 4, 2003

hemabate? :confused: usually im. can be given right into the uterine muscle. on rare occasions, you can give methergine iv. i have done it once.

SmilingBluEyes · Sep 4, 2003

we use hemabate, methergine or cytotec (rectal) for excessive bleeding.

Mazzi · Sep 4, 2003

Thanks all. Hemabate!! That was it. but guess IV is wrong. I love this site. Thanks again.

SmilingBluEyes · Sep 4, 2003

IV pitocin only...the rest are IM. except cytotec.

imenid37 · Sep 5, 2003

Here's a blurb on iv methergine use. I must say the time that I used it, I washolding my breath that things would go ok...pt. would not crash from hemmorhage or be harmed by this med.

This drug should not be administered I.V. routinely because of the possibility of inducing sudden hypertensive and cerebrovascular accidents. If I.V. administration is considered essential as a lifesaving measure, Methergine® (methylergonovine maleate) should be given slowly over a period of no less than 60 seconds with careful monitoring of blood pressure. Intra-arterial or periarterial injection should be strictly avoided.

From this link http://www.pharmacynetworkgroup.com/w/methergine-warnings-precautions.htm

SmilingBluEyes · Sep 5, 2003

which is why cytotec is so great. You avoid the above.

HazeK · Sep 6, 2003

Originally posted by SmilingBluEyes
which is why cytotec is so great.

also, cannot use Methergine w/ PIH....

and Hemabate causes severe "poopies"....

so stick w/ pitocin 1st line.....cytotec for 2nd line of defense!

haze

imenid37 · Sep 8, 2003

Ok, I think we should not talk about these things! I had to give my favourite drug IV METHERGINE again Saturday evening and IM Methergine and Hemabate Sunday evening! ARRRGGGGHHH!

SmilingBluEyes · Sep 8, 2003

IV METHERGINE????? NO WAY

that can cause a hypertensive crisis....

really you do this?

never heard such a thing and I would not do it.....

if the bleed is so bad as that, maybe time for the OR!!!

imenid37 · Sep 8, 2003

Like I said above it is RARE, but This is the second time in 10 years I've done it. Pushed it very slow. I don't like or want to do it, but pt. had awful bleed. We don't keep cytotec on our floor. It is used ONLY for fetal demise and only available when pharm is there which is not after 6p.m. on Saturday/Sunday or weeknights after 11 p.m. Several of us have asked about it for hemmorhage, but so far (after 1.5 years, no definitive answer). We are very backward here in many ways. I have to say it (IV meth) did work for hemm and I know it's dangerous. I said to physician you do want IV methergine and he repeated yes he did. He was attempting to control bleed on his part, so he was not available to give it. I told my manager this a.m and she'll talk to him, but she's got more NICU/newborn experience than maternal/obstetric expertise so she was not really aware of the dangers. Others I work w/ have also given it on rare occasions, though they too are aware of its potential dangers.