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    DRUG STUDY-Oxytocin

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    Carissa Mae Tapec Estrada
    Oxytocin is a drug that increases contractions of the uterus and is used to induce or augment labor, control postpartum bleeding, and manage abortion. It works by increasing the permeability of uterine myofibrils to sodium, indirectly stimulating uterine contractions. As a nurse, responsibilities include administering oxytocin via infusion pump, monitoring vital signs, contractions, and fetal heart rate, and educating the client. Oxytocin is contraindicated in cases of cephalopelvic disproportion, unfavorable fetal positions, hypertension, and previous uterine surgery. Side effects include changes in heart rate, headaches, and water intoxication.

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    DRUG STUDY-Oxytocin

    Uploaded by

    Carissa Mae Tapec Estrada
    8K views2 pages
    Oxytocin is a drug that increases contractions of the uterus and is used to induce or augment labor, control postpartum bleeding, and manage abortion. It works by increasing the permeability of uterine myofibrils to sodium, indirectly stimulating uterine contractions. As a nurse, responsibilities include administering oxytocin via infusion pump, monitoring vital signs, contractions, and fetal heart rate, and educating the client. Oxytocin is contraindicated in cases of cephalopelvic disproportion, unfavorable fetal positions, hypertension, and previous uterine surgery. Side effects include changes in heart rate, headaches, and water intoxication.

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    Oxytocin is a drug that increases contractions of the uterus and is used to induce or augment labor, control postpartum bleeding, and manage abortion. It works by increasing the permeability of uterine myofibrils to sodium, indirectly stimulating uterine contractions. As a nurse, responsibilities include administering oxytocin via infusion pump, monitoring vital signs, contractions, and fetal heart rate, and educating the client. Oxytocin is contraindicated in cases of cephalopelvic disproportion, unfavorable fetal positions, hypertension, and previous uterine surgery. Side effects include changes in heart rate, headaches, and water intoxication.

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    8K views2 pages

    DRUG STUDY-Oxytocin

    Uploaded by

    Carissa Mae Tapec Estrada
    Oxytocin is a drug that increases contractions of the uterus and is used to induce or augment labor, control postpartum bleeding, and manage abortion. It works by increasing the permeability of uterine myofibrils to sodium, indirectly stimulating uterine contractions. As a nurse, responsibilities include administering oxytocin via infusion pump, monitoring vital signs, contractions, and fetal heart rate, and educating the client. Oxytocin is contraindicated in cases of cephalopelvic disproportion, unfavorable fetal positions, hypertension, and previous uterine surgery. Side effects include changes in heart rate, headaches, and water intoxication.

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    DRUG STUDY

    Name of Student Nurse: Carissa Mae T. Estrada Date:


    Level/Block/Group: 2BSN-04 Hospital/Area:
    Clinical Instructor: Ma’am/Mrs. Apolonia Dela Cruz

    OXYTOCIN

    NAME OF DRUG MECHANISM OF CONTRAINDICAT SIDE ADVERSE NURSING


    ACTION IONS EFFECTS EFFECTS REPONSIBILITIES
    GENERIC NAME: Oxytocin increases Significant a fast, slow, CV: Administer primary
    Oxytocin the sodium cephalopelvic or uneven Hypertension, line with 1000 mL IV
    permeability of disproportion heart rate; systemic fluid, e.g. LR
    uterine myofibrils, venous return,
    indirectly Unfavorable excessive cardiac output Administer second
    BRAND NAME: stimulating fetal positions or bleeding line with standardized
    Pitocin contraction of the presentations, long after GI: Nausea, concentration of
    Syntocinon uterine smooth e.g., transverse childbirth; vomiting oxytocin in IV fluid
    muscle. The lies, which are
    uterus responds undeliverable severe CNS: maternal Ensure the bags and
    CLASSIFICATION:
    to oxytocin more without headache, coma, tubing are labeled
    Uterine stimulant, readily in the conversion blurred seizures ;fetal, clearly
    oxytocic presence of high before delivery vision, intracranial Insert oxytocin
    estrogen pounding in hemorrhage infusion into mainline
    concentrations Obstetric your neck or IV by connect to port
    and with the emergencies ears; or Resp: fetal nearest to IV insertion
    increased that favor asphyxia, site
    duration of surgery confusion, hypoxia
    pregnancy. severe Administer oxytocin
    Oxytocin causes Fetal distress weakness, OTHERS: via infusion pump
    INDICATION: dilation of where delivery is feeling Low APGAR
    Induce or augment vascular smooth not imminent unsteady score at 5mins Document the start
    labor muscle, thus time, end time, dose,
    increasing renal, Hyperactive or and any changes
    Control postpartum coronary, and hypertonic made during
    bleeding cerebral blood uterus administration
    flow. Blood
    Manage incomplete or pressure usually polyhydramnios, Monitor the VS and
    inevitable abortion remains partial placenta I&O
    unaffected, but previa, Frequency, duration,
    with the prematurity, and force of
    administration of contractions; resting
    very large doses previous major uterine tone
    or high surgery of cervix FHR pattern
    DOSAGE & concentration or uterus
    FREQUENCY
    Induction/Stimulation solutions blood (including C- Monitor FHR pattern
    of Labor IV (Adults): pressure may section),
    0.5– 1 decrease Monitor signs /
    milliunits/min;qby1– 2 transiently. This over-distension symptoms of water
    milliunits/min q 30– transient decrease of the uterus, intoxication; e.g.,
    60 min until in blood pressure headache, irritability,
    desiredcontraction leads to reflex grand confusion, nausea
    pattern established; tachycardia and multiparity,
    dose may be an increase in Provide client
    decreased after cardiac output; invasive cervical education about how
    desired frequency of any fall in blood carcinoma, oxytocin will affect
    contractions is pressure is usually their contractions
    reached and labor has followed by a history of
    progressed to 5-6 cm small, but uterine sepsis, or Report headache,
    dilation. Postpartum sustained, traumatic dizziness, palpitations,
    Hemorrhage IV increase in blood delivery or intense pain
    pressure.
    (Adults): 10 units
    infused at 20– 40
    milliunits/min. IM

    (Adults): 10 units after


    delivery of placenta

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