Methergine is contraindicated in patients with which condition?

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Enhance your preparation for the HESI Maternity Test. Study with flashcards and multiple choice questions, each with explanations. Get exam-ready now!

Multiple Choice

Methergine is contraindicated in patients with which condition?

Explanation:
Methergine is a uterotonic that not only stimulates uterine contractions but also causes vasoconstriction in peripheral blood vessels. That vasoconstrictive effect raises systemic vascular resistance and blood pressure. In someone with hypertension, this can provoke a dangerous hypertensive crisis and increase the risk of cerebrovascular or cardiovascular events. For that reason, Methergine is avoided in patients with high blood pressure or vascular/cardiovascular disease. The other conditions listed do not by themselves contraindicate its use, though the overall clinical context will guide the choice of uterotonic.

Methergine is a uterotonic that not only stimulates uterine contractions but also causes vasoconstriction in peripheral blood vessels. That vasoconstrictive effect raises systemic vascular resistance and blood pressure. In someone with hypertension, this can provoke a dangerous hypertensive crisis and increase the risk of cerebrovascular or cardiovascular events. For that reason, Methergine is avoided in patients with high blood pressure or vascular/cardiovascular disease. The other conditions listed do not by themselves contraindicate its use, though the overall clinical context will guide the choice of uterotonic.

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