Given the following information, identify the adverse effects related to each medication order. AG1PO delivered a baby that weighs 10 lbs. Patient has a boggy uterus, it is midline, and +1 hour after delivery. Perineal pad is saturated with large golf size clots in 30 minutes. Identify the adverse effects of the medications listed in the order set. Medication: Methergine (Methylergonovine), Oxytocin (Pitocin), Hemabate (carboprost tromethamine), Misoprostol (Cytotec).

Choice A rationaleDiarrhea is a common adverse effect of Hemabate (carboprost tromethamine). It stimulates smooth muscle contractions, including gastrointestinal tract muscles, leading to increased bowel movements.Choice B rationaleMethergine (Methylergonovine) can cause a hypertensive crisis due to its potent vasoconstrictive properties. It is contraindicated in patients with hypertension or preeclampsia.Choice C rationaleHemabate (carboprost tromethamine) may exacerbate asthma. It can cause bronchoconstriction by stimulating prostaglandin receptors, worsening asthma symptoms or triggering attacks.Choice D rationaleMisoprostol (Cytotec) can cause fever, chills, and hypotension due to its inflammatory and vasodilatory effects. It increases prostaglandin synthesis, leading to these systemic responses.