Mifepristone

Mechanism of Action

Stimulate uterine activity,

Indications

Evacuation of uterine contents

Contra-Indications

Lactation

Side Effects

Vomiting

Route of Administration

Buccal

Storage

Room Temperature

After 20 weeks of pregnancy

Allergy to prostaglandins

Hypertension

Acute Vaginitis

Acute PVD

Asthma

Intra-vaginal

Nursing Considerations

Health educate the patient on the effects of the medication of the body and how they will during the whole purpose

Reassure the patient that they must no be afraid suggest breathing exercises

Offer pre and post procedure counselling for the patient refer to an social worker or psychologist

Ensure the removal of all products of conception to prevent abnormal bleeding after vaginal evacuation

Monitor vital signs blood pressure, pulse and temperature

Administration of electrolytes for re-hydration in case of abnormal bleeding and excessive vomiting

Heavy urine bleeding

Abdominal cramping

Uterine rupture

Perforated uterus

Hedache

Nausea

Dislodging any implanted trophoblast and prevents implantation

Approve termination of pregnancy at 12-20 weeks of gestational age

Abortifacient Drug