Question

The healthcare provider prescribes carboprost tromethamine (Hemabate) 250 mcg IM for a multigravida postpartum client who is experiencing heavy, bright red vaginal bleeding. Prior to administering this medication, which interventions should the RN implement?

Answer 1

Before administering carboprost tromethamine (Hemabate) 250 mcg IM for postpartum bleeding, the RN should assess vital signs, confirm the diagnosis, verify contraindications, establish intravenous access, and educate the client about the medication.

Step-by-step explanation:

Before administering carboprost tromethamine (Hemabate) 250 mcg intramuscularly to a postpartum client experiencing heavy, bright red vaginal bleeding, the RN should implement several interventions:

1. Assess vital signs: Obtain baseline blood pressure, pulse, and respiratory rate to monitor for any changes during and after the administration of Hemabate.

2. Confirm the diagnosis: Ensure that the heavy vaginal bleeding is due to uterine atony and not another cause. Confirm the appropriateness of Hemabate for the clinical situation.

3. Verify contraindications: Check for contraindications, such as allergy to prostaglandins or a history of asthma, as Hemabate can cause bronchoconstriction.

4. Establish intravenous access: Be prepared to administer additional medications or fluids in case of adverse reactions or the need for further intervention.

5. Educate the client: Explain the purpose, potential side effects, and expected outcomes of Hemabate administration to the client.

These interventions help ensure the safe and effective administration of Hemabate in managing postpartum hemorrhage.