A 27-year-old female patient comes to the clinic with complaints of increasingly frequent migraines The patient has been taking nonsteroidal anti-inflammatory drugs for previous migraines but states that they are not as effective as they once were. The patient is prescribed ergotamine with a first dose now. What action should the nurse take?
a. Ask the patient if she is pregnant or thinks she may be pregnant.
b. Instruct the patient to take the medication with food.
c. Instruct the patient to avoid the concurrent use of nonsteroidal anti-inflammatory drugs.
d. Have the laboratory draw blood for a complete blood count.
ANS: A
Ergotamine should not be taken during pregnancy because it promotes uterine contractions, which can cause fetal harm or spontaneous abortion.
Ergotamine may be taken with or without food.
Nonsteroidal anti-inflammatory drugs are not contraindicated with ergotamine.
Ergotamine is not contraindicated for patients with abnormal complete blood count results. It is contraindicated in patients with renal and hepatic impairment.
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