- Information
- AI Chat
Pitocin-oxytocin - ATI active learning template
nursing care of women and families (NUR 4450)
Madonna University US
Recommended for you
Preview text
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A
Medication
STUDENT NAME _____________________________________ MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ CATEGORY CL A SS ______________________________________________________________________
ACTIVE LEARNING TEMPLATE:
PURPOSE OF MEDICATION
Expected Pharmacological Action
Complications
Contraindications/Precautions
Interactions
Medication Administration
Evaluation of Medication Effectiveness
Therapeutic Use
Nursing Interventions
Client Education
lauren pitocin/oxytocin
stimulates smooth muscle of uterus and mammary glands
Never give drug simultaneously by more than one route, Don’t give bolus injection; use infusion pump. Give by piggyback infusion so that it may be stopped without interrupting IV line.
Carboprost tromethamine, Cyclopropane anesthetics, Dinoprostone, Drugs that prolong QT interval, Misoprostol, Vasoconstrictors
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 Caution: patients with invasive cervical cancer/previous cervical or uterine surgery (including cesarean section), grand multiparity, uterine sepsis, traumatic delivery, or overdistended uterus.
subarachnoid hemorrhage, seizures, coma, arrhythmias, abruptio placentae, hemorrhage, anaphylaxis, death from oxytocin-induced water intoxication, uterine rupture, afibrinogenemia. HTN, PVCs, nausea, vomiting, tetanic uterine contractions, impaired uterine blood flow, pelvic hematoma, increased uterine motility. Fetal: brain damage, seizures, low Apgar scores at 5 minutes, death, bradycardia, arrhythmias, PVCs, retinal hemorrhage, jaundice
induce labor, reduce postpartum bleeding, abortion
Patients on oxytocin must be under observation. Discontinue oxytocin infusion immediately if uterine 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. 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 character of blood loss at least every 15 minutes.
client gives birth/client shows no sign of postpartum hemorrhage, fetus is aborted (if given for this reason)
Explain use and administration of drug to patient and family. Instruct patient to promptly report adverse reactions (site irritation, nausea, bleeding, blurred vision, difficulty speaking, wheezing, itching, swelling).
Pitocin-oxytocin - ATI active learning template
Course: nursing care of women and families (NUR 4450)
University: Madonna University US
