ACTIVE LEARNING TEMPLATE: Medication
lauren
STUDENT NAME _____________________________________
pitocin/oxytocin
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
stimulates smooth muscle of uterus and induce labor, reduce postpartum bleeding,
mammary glands abortion
Complications Medication Administration
subarachnoid hemorrhage, seizures, coma, arrhythmias, abruptio placentae,
hemorrhage, anaphylaxis, death from oxytocin-induced water intoxication, uterine
Never give drug simultaneously
rupture, afibrinogenemia. HTN, PVCs, nausea, vomiting, tetanic uterine contractions, by more than one route, Don’t
impaired uterine blood flow, pelvic hematoma, increased uterine motility. give bolus injection; use infusion
Fetal: brain damage, seizures, low Apgar scores at 5 minutes, death, bradycardia,
arrhythmias, PVCs, retinal hemorrhage, jaundice pump. Give by piggyback
infusion so that it may be
stopped without interrupting IV
line.
Contraindications/Precautions
Contraindicated: when vaginal delivery isn’t advised, in fetal distress when
delivery isn’t imminent, prematurity/other obstetric emergencies, patients with
severe toxemia or hypertonic uterine patterns Nursing Interventions
Caution: patients with invasive cervical cancer/previous cervical or uterine
surgery (including cesarean section), grand multiparity, uterine sepsis, Patients on oxytocin must be under observation.
Discontinue oxytocin infusion immediately if uterine
traumatic delivery, or overdistended uterus. hyperactivity or fetal distress occurs. Administer oxygen to
mother. Use for induced labor only when pelvis is known
to be adequate, vaginal delivery is indicated, fetal maturity
is assured, and fetal position is favorable. Use drug only in
hospital where critical care facilities and prescriber are
immediately available. Monitor intake and output.
Interactions Antidiuretic effect may lead to fluid overload, seizures, and
coma from water intoxication. Monitor and record uterine
contractions, HR, BP, intrauterine pressure, fetal HR, and
Carboprost tromethamine, Cyclopropane anesthetics, character of blood loss at least every 15 minutes.
Dinoprostone, Drugs that prolong QT interval, Misoprostol,
Vasoconstrictors
Client Education
Explain use and administration of
drug to patient and family.
Evaluation of Medication Effectiveness Instruct patient to promptly report
client gives birth/client shows no sign of postpartum adverse reactions (site irritation,
nausea, bleeding, blurred vision,
hemorrhage, fetus is aborted (if given for this reason) difficulty speaking, wheezing,
itching, swelling).
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A7
lauren
STUDENT NAME _____________________________________
pitocin/oxytocin
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
stimulates smooth muscle of uterus and induce labor, reduce postpartum bleeding,
mammary glands abortion
Complications Medication Administration
subarachnoid hemorrhage, seizures, coma, arrhythmias, abruptio placentae,
hemorrhage, anaphylaxis, death from oxytocin-induced water intoxication, uterine
Never give drug simultaneously
rupture, afibrinogenemia. HTN, PVCs, nausea, vomiting, tetanic uterine contractions, by more than one route, Don’t
impaired uterine blood flow, pelvic hematoma, increased uterine motility. give bolus injection; use infusion
Fetal: brain damage, seizures, low Apgar scores at 5 minutes, death, bradycardia,
arrhythmias, PVCs, retinal hemorrhage, jaundice pump. Give by piggyback
infusion so that it may be
stopped without interrupting IV
line.
Contraindications/Precautions
Contraindicated: when vaginal delivery isn’t advised, in fetal distress when
delivery isn’t imminent, prematurity/other obstetric emergencies, patients with
severe toxemia or hypertonic uterine patterns Nursing Interventions
Caution: patients with invasive cervical cancer/previous cervical or uterine
surgery (including cesarean section), grand multiparity, uterine sepsis, Patients on oxytocin must be under observation.
Discontinue oxytocin infusion immediately if uterine
traumatic delivery, or overdistended uterus. hyperactivity or fetal distress occurs. Administer oxygen to
mother. Use for induced labor only when pelvis is known
to be adequate, vaginal delivery is indicated, fetal maturity
is assured, and fetal position is favorable. Use drug only in
hospital where critical care facilities and prescriber are
immediately available. Monitor intake and output.
Interactions Antidiuretic effect may lead to fluid overload, seizures, and
coma from water intoxication. Monitor and record uterine
contractions, HR, BP, intrauterine pressure, fetal HR, and
Carboprost tromethamine, Cyclopropane anesthetics, character of blood loss at least every 15 minutes.
Dinoprostone, Drugs that prolong QT interval, Misoprostol,
Vasoconstrictors
Client Education
Explain use and administration of
drug to patient and family.
Evaluation of Medication Effectiveness Instruct patient to promptly report
client gives birth/client shows no sign of postpartum adverse reactions (site irritation,
nausea, bleeding, blurred vision,
hemorrhage, fetus is aborted (if given for this reason) difficulty speaking, wheezing,
itching, swelling).
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A7
