OB- oxytocin med card PDF

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Download OB- oxytocin med card PDF

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ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME Kaitlyn Freeman MEDICATION __Oxytocin (Pitocin)__ REVIEW MODULE CHAPTER ___________ CATEGORY CLASS : Therapeutic(hormones), pharmacologic(oxyocics)

PURPOSE OF MEDICATION ffddfsd

Expected Pharmacological Action

Therapeutic Use

Complications CNS maternal- coma, seizures CNS fetal: intracranial hemorrhage Resp fetal: asphyxia, hypoxia CV maternal: hypotension. CV fetal: arrhythmias

Medication Administration Induction/stimulation of labor: IV (0.5-1 miliunits/min) increase by 1-2 Miliunits/min q 3030 min until desired contraction pattern Postpartum Hemorrhage: IV is 10 units infused at 20-40 miliunits/min. IM 10 units after delivery of placenta. Incomplete/Inevitable abortion: IV 10 units at rate of 20-40 miliunits/min.

Contraindications/Precautions Contradicted in: hypersensitivity, anticipated nonvaginal delivery. Use cautiously in: first and second staged of labor, slow infusion over 24 hours has caused water intoxication with seizure and coma or maternal death due to oxytocin antidiuretic effect.

Nursing Interventions Assess character, frequency, and duration of uterine contractions. Monitor maternal BP and pulse and fetal heart rate. Monitor pt for signs and symptoms for water intoxication.

Interactions Drug-drug: severe hypertension may occur if oxytocin follows administration of vasopressors.

Client Education Advise patient to expect contractions similar to menstrual cramps after administration has started.

Evaluation of Medication Effectiveness Onset of effective contractions, increase in uterine tone, reduction in postpartum bleeding....