OB MEDICATIONS(Correctly solved)
Pitocin (oxytocin) - INDICATION correct answersINDICATION: for involution and prevention
of hemorrhage, induction and augmentation
Pitocin (oxytocin) - DOSAGE/ROUTE correct answersDOSAGE: Induction: 0.5-1
milliunits/min; increase by 1-2 milliunits/min q 30-60 min until desired contraction pattern
established. Postpartum hemorrhage: 10 units infused at 20-40 milliunits/min. 10 units after
delivery of placenta
ROUTE: IV, IM (after delivery of placenta)
Pitocin (oxytocin) - NURSING CONSIDERATIONS correct answersNURSING
CONSIDERATIONS: Fetal maturity, presentation, and pelvic adequacy should be assessed prior
to administration of oxytocin for induction of labor.
Assess character, frequency, and duration of uterine contractions; resting uterine tone; and fetal
heart rate frequently throughout administration. If contractions occur <2 min apart and are >50-
65 mm Hg on monitor, if they last 60 - 90 sec or longer, or if a significant change in fetal heart
rate develops, stop infusion and turn patient on her left side to prevent fetal anoxia. Notify health
care professional immediately.
Monitor maternal BP and pulse frequently and fetal heart rate continuously throughout
administration.
This drug occasionally causes water intoxication. Monitor patient for signs and symptoms
(drowsiness, listlessness, confusion, headache, anuria) and notify physician or other health care
professional if they occur.
Pitocin (oxytocin) - SIDE EFFECTS/ADVERSE REACTIONS correct answersSIDE EFFECTS:
Maternal- hypotension, hypochloremia, hyponatremia, increased uterine motility, painful
contractions, abruptio placentae, decreased uternine blood flow, hypersensitivity.
ADVERSE REACTIONS: CNS: maternal- coma, seizures, water intoxication, uterine rupture.
Fetal - intracranial hemorrhag, asphyxia, hypoxia.
Pitocin (oxytocin) - DRUG TO DRUG INTERACTIONS correct answersDRUG TO DRUG
INTERACTIONS: Severe hypertension may occur if oxytocin follows administration of
vasopressors.
Pitocin (oxytocin) - PATIENT TEACHING correct answersPATIENT TEACHING: Advise
patient to expect contractions similar to menstrual cramps after administration has started.
Pitocin (oxytocin) - CLASSIFICATION/MECHANISM OF ACTION correct
answersCLASSIFICATION: Oxytocics
MECHANISM OF ACTION: Stimulates uterine smooth muscle, producing uterine contrations
similar to those in spontaneous labor.Induction of labor. Control of postpartum bleeding.
Methergine - CLASSIFICATION/MECHANISM OF ACTION correct
answersCLASSIFICATION: Oxytocics
Pitocin (oxytocin) - INDICATION correct answersINDICATION: for involution and prevention
of hemorrhage, induction and augmentation
Pitocin (oxytocin) - DOSAGE/ROUTE correct answersDOSAGE: Induction: 0.5-1
milliunits/min; increase by 1-2 milliunits/min q 30-60 min until desired contraction pattern
established. Postpartum hemorrhage: 10 units infused at 20-40 milliunits/min. 10 units after
delivery of placenta
ROUTE: IV, IM (after delivery of placenta)
Pitocin (oxytocin) - NURSING CONSIDERATIONS correct answersNURSING
CONSIDERATIONS: Fetal maturity, presentation, and pelvic adequacy should be assessed prior
to administration of oxytocin for induction of labor.
Assess character, frequency, and duration of uterine contractions; resting uterine tone; and fetal
heart rate frequently throughout administration. If contractions occur <2 min apart and are >50-
65 mm Hg on monitor, if they last 60 - 90 sec or longer, or if a significant change in fetal heart
rate develops, stop infusion and turn patient on her left side to prevent fetal anoxia. Notify health
care professional immediately.
Monitor maternal BP and pulse frequently and fetal heart rate continuously throughout
administration.
This drug occasionally causes water intoxication. Monitor patient for signs and symptoms
(drowsiness, listlessness, confusion, headache, anuria) and notify physician or other health care
professional if they occur.
Pitocin (oxytocin) - SIDE EFFECTS/ADVERSE REACTIONS correct answersSIDE EFFECTS:
Maternal- hypotension, hypochloremia, hyponatremia, increased uterine motility, painful
contractions, abruptio placentae, decreased uternine blood flow, hypersensitivity.
ADVERSE REACTIONS: CNS: maternal- coma, seizures, water intoxication, uterine rupture.
Fetal - intracranial hemorrhag, asphyxia, hypoxia.
Pitocin (oxytocin) - DRUG TO DRUG INTERACTIONS correct answersDRUG TO DRUG
INTERACTIONS: Severe hypertension may occur if oxytocin follows administration of
vasopressors.
Pitocin (oxytocin) - PATIENT TEACHING correct answersPATIENT TEACHING: Advise
patient to expect contractions similar to menstrual cramps after administration has started.
Pitocin (oxytocin) - CLASSIFICATION/MECHANISM OF ACTION correct
answersCLASSIFICATION: Oxytocics
MECHANISM OF ACTION: Stimulates uterine smooth muscle, producing uterine contrations
similar to those in spontaneous labor.Induction of labor. Control of postpartum bleeding.
Methergine - CLASSIFICATION/MECHANISM OF ACTION correct
answersCLASSIFICATION: Oxytocics
