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Carboprost (Hemabate)

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Carboprost (Hemabate)

Carboprost (Hemabate)

Car-bow-frost
Picmonic
Carboprost (Hemabate) is a synthetic prostaglandin used to treat postpartum hemorrhage by inducing uterine contractions. Typically, after a woman gives birth, the uterus continues to contract and bleeding stops. Postpartum hemorrhage can occur when this doesn't happen, however. Carboprost can also be used to induce abortion in the second trimester of pregnancy. Side effects of carboprost (Hemabate) include: hypertension, fever, bronchoconstriction, nausea, vomiting, and diarrhea. If the patient develops a fever, the cause of the fever must be identified to determine whether the fever is drug-induced or due to another condition, such as endometritis.
11 KEY FACTS
MECHANISM OF ACTION
Prostaglandin F2-alpha Analog
Frost-the-landin and Fox in (2) Tutu with Afro On-a-log

Carboprost (Hemabate) is a synthetic analog of prostaglandin F2-alpha (PGF2Îą). It mimics the actions of the naturally occurring PGF2Îą by binding to the same receptors, which is why it is referred to as a prostaglandin analog.

Smooth Muscle Contraction
Smoothie Muscle Flexing

Prostaglandins stimulate smooth muscle contraction, including in the uterus. Carboprost (Hemabate), a prostaglandin F2Îą analog, promotes intense uterine contractions, which help control postpartum hemorrhage by compressing uterine blood vessels and reducing bleeding.

INDICATIONS
Postpartum Hemorrhage
Post-baby with Hemorrhage-hammer

After delivery of the infant and placenta, the uterus normally contracts to compress blood vessels and minimize bleeding. When uterine contractions are inadequate, postpartum hemorrhage can occur. In such cases, carboprost (Hemabate) is administered to induce strong uterine contractions, helping to reduce bleeding and restore hemostasis.

Termination of Pregnancy
Aborting Fetus

Carboprost (Hemabate) may also be used to induce abortion during the second trimester, particularly in cases of intrauterine fetal demise or missed abortion, by stimulating strong uterine contractions.

SIDE EFFECTS
GI Distress
GI shooting Flare-gun

Nausea, vomiting, and diarrhea are common side effects of carboprost, as prostaglandins stimulate smooth muscle contraction in the gastrointestinal tract, leading to increased motility and cramping.

Fever and Chills
Fever-beaver and Ice

Fever is a common side effect of carboprost, likely due to its prostaglandin activity on the hypothalamic thermoregulatory center. However, if a fever occurs postpartum, it's essential to evaluate the underlying cause to determine whether it's drug-induced or a sign of an underlying infection, such as endometritis.

Hypertension
Hiker-BP

The effects of prostaglandins on blood vessels vary by type and tissue, with some leading to vasodilation and others causing vasoconstriction. Carboprost can induce transient increases in blood pressure, possibly due to increased systemic vascular resistance or a stress response to pain or uterine contractions. It is generally moderate and does not require treatment

Cramping
Clamps

As a uterotonic agent, it causes strong uterine contractions, which may be painful or uncomfortable, especially in non-laboring patients.

Bronchospasm
Broccoli-spaceship

Carboprost is a prostaglandin F2Îą analog, which stimulates smooth muscle contraction, including bronchial smooth muscle. This can lead to bronchospasm, making it dangerous for patients with asthma or other reactive airway diseases.

CONSIDERATIONS
Identify Cause of Fever
ID Fever-beaver

Fever is a common side effect of carboprost. If a fever develops, the cause of the fever must be identified to determine whether it is drug-induced or due to another condition/infection, such as endometritis. Failure to recognize postpartum or post-abortion endometritis may lead to sepsis and death.

Asthma
Asthma-inhaler

Carboprost is a prostaglandin F2Îą analog that can stimulate bronchial smooth muscle contraction, potentially triggering severe bronchospasm in patients with asthma or other reactive airway diseases.

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