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Drug Study (Misoprostol)

Misoprostol (brand name Cytotec) is a prostaglandin E1 analog used for abortion induction and management, cervical ripening prior to labor induction, reducing postpartum bleeding, and controlling spontaneous abortion. It works by directly stimulating prostaglandin E1 receptors in the stomach to inhibit acid secretion. For cervical ripening, the nurse assesses contraindications and precautions, monitors the cervix and fetus, and has terbutaline available in case of excess uterine activity after misoprostol administration. The nurse also monitors for side effects like nausea, cramps, and diarrhea and assesses the therapeutic response of cervical softening and normal fetal heart rate.

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Danica Nuevaexcija
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2K views3 pages

Drug Study (Misoprostol)

Misoprostol (brand name Cytotec) is a prostaglandin E1 analog used for abortion induction and management, cervical ripening prior to labor induction, reducing postpartum bleeding, and controlling spontaneous abortion. It works by directly stimulating prostaglandin E1 receptors in the stomach to inhibit acid secretion. For cervical ripening, the nurse assesses contraindications and precautions, monitors the cervix and fetus, and has terbutaline available in case of excess uterine activity after misoprostol administration. The nurse also monitors for side effects like nausea, cramps, and diarrhea and assesses the therapeutic response of cervical softening and normal fetal heart rate.

Uploaded by

Danica Nuevaexcija
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

Bulaong Subdivision, Barangay West, General Santos City 9500


Tel No.: (083) 302-3507, Telefax No.: (083) 552-9793

_______________________________________________________________________________________

NAME: NUEVAEXCIJA, DANICA S.


YEAR & SECTION: BSN-2A
DRUG MECHANISM INDICATION DOSAGE ADVERSE NURSING
(Brand name and CLASSIFICATION OF ACTION (Recommended and REACTIONS RESPONSIBILITIES
Generic name) Actual)
Generic Name: Gastrointestinal By directly  Abortion For adults, 200 mcg Some people may When cervical ripening
Misoprostol Agents stimulating induction and have nausea, is treated with
of Cytotec four
prostaglandin E1 management stomach cramps, or prostaglandins:
Brand Name: receptors on  Ripening of the times per day with diarrhea after using
Cytotec parietal cells in cervix food is advised to this medication. As Prior to administration,
the stomach, the  Reduce lower the risk of your body becomes 1. Reinforce the
prostaglandin E1 postpartum used to the information that the
NSAID-induced
analog bleeding medication, these midwife and
misoprostol gastric ulcers. A side effects obstetrician provide
 Ripening of the
inhibits basal and cervix dose of 100 mcg typically go away
nocturnal gastric  controlling may be used if the in a few days. If 2. Assessments:
acid secretion. spontaneous first dose is not diarrhea, cramps, or contraindications and
abortion nausea are severe precautions; cervical
well tolerated. As or do not go away status, fetal lie, fetal
 Abortion
directed by the after a week, talk to position; baseline
induction
doctor, Cytotec your doctor. uterine and fetal heart
should be used monitoring
throughout NSAID
3. Have terbutaline on
therapy. The final hand if administering
dose of the day, misoprostol.

which should be
After administration
taken at bedtime,
4. After applying gel or
should be taken
two hours after
with a meal. applying a vaginal
insert, keep the client
supine.

5. Assess uterine
activity, FHR, maternal
vital signs, and monitor
for side effects.

A therapeutic response
if cervical softening,
minimal uterine
activity, and normal
FHR are observed

Keep an eye out for


erratic or abnormal
patterns in the FHR
Take comfort measures
as necessary

REFERENCES:

Misoprostol: Generic, Uses, Side Effects, Dosages, Interactions, Warnings. (2021, August 5). RxList.

https://www.rxlist.com/consumer_misoprostol_cytotec/drugs-condition.htm

Misoprostol (Oral Route) Side Effects - Mayo Clinic. (n.d.). https://www.mayoclinic.org/drugs-supplements/misoprostol-oral-route/side-effects/drg-

20064805?p=1

Cytotec (Misoprostol): Uses, Dosage, Side Effects, Interactions, Warning. (2020, August 5). RxList. https://www.rxlist.com/cytotec-drug.htm
Prostaglandins: Nursing Pharmacology. (2019). https://www.osmosis.org/learn/Prostaglandins:_Nursing_Pharmacology.

https://www.osmosis.org/learn/Prostaglandins:_Nursing_Pharmacology

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