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Oxytocin (Pitocin) Med Card Complete

Course

Maternity & Women's Health (RNSG 2208)

85 Documents
Students shared 85 documents in this course
Academic year: 2022/2023
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San Jacinto College

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ACTIVE LEARNING TEMPLATES

Medication

STUDENT NAME _____________________________________ MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ CATEGORY CLASS ______________________________________________________________________

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

Angela Howski Oxytocin (Pitocin) Oxytocic Agent/labor inducer

Induce labor and aid in the delivery of the placenta (third stage of labor), to control postpartum bleeding

Always admin. through a pump (piggyback). Standar concentrations typically range from 10-30U in 500-1,000mL. Infusions start at 1mU/min and are titrated up by 1-2mU/min every 30-60min, depending on response.

Acetaminophen, chlorpheniramine, dextromethorphan, phenylephrine, guaifenesin, articaine, epinephrine, brompheniramine, carbetapentane, dextromethorphan, bupivacaine, pyrilamine, carbinoxamine, carboprost tromethamine, codine, dopamine, hydrocodone, midodrine, misoprostol, methohexital

fetal distress, fetal prematurity, abnormal fetal position, placental previa, uterine prolapse, vasa previa, cephalopelvic, cervical cancer, 2 or more uterine/cervical surgeries, active genital herpes

Uterine tachysystole (contractions too strong), placental abruption, postpartum uterine hemorrhage, and rupture of the uterus.

induce/strengthen contractions, control bleeding after childbirth, stimulate contractions in an incomplete or threatened mischarriage

Continuous fetal and contraction mx is required and should be reviewed every 15min and w/every change in dose. fetal mx should be every 5min during active pushing. Maternal HR, BP, and resp. should be monitored every 1/2 hr to an hr and with dose changes. Urine output should be at least 120mL Q4hr. Intravenous intake should not exceed 1,000mL in 8hr.

Goal: one contraction every 2-3 min lasting 80-90s consistently, strong to palpation

Notify PCP/nurse if signs of allergic reaction (rash, hives, itching, red/swollen/blistered/peeling skin, fever, wheezing, tightness in the chest/throat, SOB, swallowing/talking, headache/dizziness, change in eyesight, increased bleeding, slow heartreate

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Oxytocin (Pitocin) Med Card Complete

Course: Maternity & Women's Health (RNSG 2208)

85 Documents
Students shared 85 documents in this course
Was this document helpful?
ACTIVE LEARNING TEMPLATES
Medication
STUDENT NAME _____________________________________
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
CATEGORY CLASS ______________________________________________________________________
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
Angela Howski
Oxytocin (Pitocin)
Oxytocic Agent/labor inducer
Induce labor and aid in the delivery of the
placenta (third stage of labor), to control
postpartum bleeding
Always admin. through a pump
(piggyback). Standar
concentrations typically range from
10-30U in 500-1,000mL. Infusions
start at 1mU/min and are titrated
up by 1-2mU/min every 30-60min,
depending on response.
Acetaminophen, chlorpheniramine, dextromethorphan,
phenylephrine, guaifenesin, articaine, epinephrine, brompheniramine,
carbetapentane, dextromethorphan, bupivacaine, pyrilamine,
carbinoxamine, carboprost tromethamine, codine, dopamine,
hydrocodone, midodrine, misoprostol, methohexital
fetal distress, fetal prematurity, abnormal fetal position,
placental previa, uterine prolapse, vasa previa,
cephalopelvic, cervical cancer, 2 or more uterine/cervical
surgeries, active genital herpes
Uterine tachysystole (contractions too strong), placental
abruption, postpartum uterine hemorrhage, and rupture of
the uterus.
induce/strengthen contractions, control bleeding
after childbirth, stimulate contractions in an
incomplete or threatened mischarriage
Goal: one contraction every 2-3 min lasting 80-90s
consistently, strong to palpation
Notify PCP/nurse if signs of allergic
reaction (rash, hives, itching,
red/swollen/blistered/peeling skin,
fever, wheezing, tightness in the
chest/throat, SOB, swallowing/talking,
headache/dizziness, change in
eyesight, increased bleeding, slow
heartreate