1st dose 100mcg. 2nd dose 200mcg after 5mins. 3rd dose 400mcg after 15mins. 2.5 mg nebule Administration and dosage Patients over 5 years 5mg nebulised. 2.5 mg nebulised plus subsequent doses as above.
Contraindications Never give syntometerine if the baby is still in the uterus.
Be aware of the potential of the presence of a second or subsequent babies still to be delivered. Side effects Nausea Headaches Abdominal pains Palpitations Bradycardia Transient hypertension Presentation 500mcg of ergometrine maleate plus 5 units of oxytocin in a 1ml ampoule. Administration and dosage 500mcg IM once only 500mcg IV once only. IV access should only be used if IV access was gained before the post partum haemorrhage occurred.