36 Syntometrine - nars.uk.com
36 Syntometrine - nars.uk.com
36 Syntometrine - nars.uk.com
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Norfolk Accident Rescue Service<br />
Title CF-D<strong>36</strong>: <strong>Syntometrine</strong><br />
Date Approved Approved 20.05.10<br />
Review Date TBC<br />
Author/s Dr Tony Press, Dr Marco Satterley, Barry Hart<br />
Audience All NARS Staff<br />
SYNTOMETRINE<br />
Uses: Postpartum haemorrhage within 24 hours of delivery.<br />
Actions: Stimulates uterine contraction.<br />
Presentation: A clear. Colourless solution containing 5 iu oxytocin and 500 mcg<br />
ergometrine. Vials contain 1 ml.<br />
Administration: Intramuscular injection of 1 ml (<strong>com</strong>plete vial).<br />
Effects: CVS Causes hypertension which can result in <strong>com</strong>pensatory<br />
bradycardia. Can cause transient ischaemic changes and<br />
episodic chest pain.<br />
GI Nausea and vomiting are <strong>com</strong>mon.<br />
Side Effects: As above plus headache.<br />
Contraindications: Active labour.<br />
Ischaemic heart disease.<br />
Hypersensitivity<br />
References<br />
BNF<br />
Children’s BNF<br />
NARS Common Formulary<br />
CF-D<strong>36</strong>: <strong>Syntometrine</strong> Page 1 of 2 Norfolk Accident Rescue Service
Drugs in Anaesthesia and Intensive Care. Sasada & Smith 1999<br />
JRCALC guidelines<br />
CF-D<strong>36</strong>: <strong>Syntometrine</strong> Page 2 of 2 Norfolk Accident Rescue Service
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