Oxytocin - drug study PDF

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West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City

DRUG STUDY Dosage, Route, Frequency and Mechanism of Action Indication Timing Generic: oxytocin Dosage: 10 Directly affects Stimulation of uterine units/mL in 1 amp neuroreceptor sites to contractions during third stimulate contraction of the stage of labor and control uterus during labor of postpartum bleeding or especially toward the end of haemorrhage Route: IM Brand: Pitocin, the pregnancy, helping Syntocinon expel the baby. It also contracts myoepithelial Frequency: cells in the breasts, causing milk to be expressed from the alveoli into the ducts so Classification Contraindications that the baby can obtain it Timing: Functional: Hypersensitivity to by suckling. Oxytoxics oxytocin. Name of Drug

Cephalopelvic disproportion Chemical: Ergot Alkaloid

Fetal intolerance of labor Anticipated non vaginal delivery

Student’s Name: Clinical Instructor:

Adverse Reactions

Special Precautions

Nursing Responsibilities

Hypertonicity may occur with Have tocolytic agents and Assess vital signs for baseline tearing of uterus, increased oxygen readily available. data. bleeding, abruption placentae Fetal bradycardia Monitor frequency, Low Apgar score at 5 min,

Caution should be used in duration, strength of patients with coronary contractions. Prolonged IV infusion of oxytocin with excessive fluid disease and hypertension due to the effect of causing Monitor for signs of uterine volume has caused severe arterial contraction, which rupture, which include water intoxication with could raise blood pressure FHR decelerations, sudden seizures, coma, death. or compromise coronary increased pain, loss of Side Effects blood flow, or in patients uterine contractions, hypertension, who have had pr evious hemorrhage, and rapidly dysrhythmias, tachysystole, cesarean births because of developing hypovolemic and uterine the effects on uterine shock. hyperstimulation. contraction, which could compromise scars from Maintain careful I&O; Be alert Tachysystole is 6 or more previous procedures. to potential water intoxication. uterine contractions in a 20Check for blood loss. min window. Caution should be (Hyperstimulation is used in hepatic or renal Report changes in vital signs defined as impairment, which could and FHR, specifically late uterine contractions lasting alter themetabolism or decelerations and any vaginal at least 2╯min or 5 or excretion of the drug. bleeding. more contractions in a 10-min window.)...