Multiple choice

In a patient with post partum hemorrhage with rheumatic heart disease, which of the following is contraindicated?

  1. Misoprostol

  2. Methyl ergometrine

  3. Oxytocin

  4. Carboprost
Reveal answer Fill a bubble to check yourself
B Correct answer
Explanation

In patients with rheumatic heart disease (RHD), particularly those with mitral stenosis, methylergometrine is contraindicated because it can cause severe hypertension and pulmonary edema. The drug increases systemic vascular resistance and can precipitate acute decompensation in patients with compromised cardiac function. Misoprostol, oxytocin, and carboprost are safer alternatives for managing postpartum hemorrhage in these patients.

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