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West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City
DRUG STUDY
Name of Patient:
Age:
___

Name of
Drug
Generic:
Oxytocin

Brand:
Pitocin

__ __

Dosage,
Route,
Frequency
and
Timing
Dosage:
10 nits
Route:
Deep I.M.
Frequency:
1
Timing:
After
delivery

Attending Physician: ______________________


Ward/Bed Number: ___________
Impression / Diagnosis: ___________________________

Mechanism of
Action
Synthetic form
of an
endogenous
hormone
produced in
the
hypothalamus
and stored in
the posterior
pituitary;
stimulates the
uterus,
especially the
gravid uterus
just before

Adverse
Reactions

Indication

Antepartum: To indiateor
improve uterine
contractions to achieve
early vaginal delivery:
stimulation or
reinforcement of labor in
selected cases of uterine
inertia; management of
inevitable or incomplete
portion.
Postpartum: To produce
uterine contraction
during 3rd stage of labor
and to control postpartum
bleeding.

Cardiacarrhyth
mias, PVCS,
hypertension,
subarachnoid
hemorrhage.
Fetal effects:
Fetalbradycar
dia, neonatal
jaundice, low
APGAR scores
GI: nausea,
vomiting
GU:
Postpartum
hemorrhage,

Special
Precautions
Use cautiously
in:
Previous
cervical
or uterine
surgery,
history of
uterine
sepsis.
Breast
feeding
patient.
Oxytocin
causes
contraction of

Nursing
Responsibilities

Assess patients
condition before
starting therapy
and regularly
thereafter.
Monitor and
record uterine
contractions,
heart rate, blood
pressure,
intrauterine
pressure, fetal
heart rate and
blood loss for 15
mins.

parturition

and causes
myoepithelium
of the lacteal
glands to
contract,
which results
in milk ejection
in lactating
mother

Classificati
on
Functional:
Hormones
and
synthetics
substitutes

Chemical:
Oxytocic

Lactation deficiency.

Contraindications
Hypersensitivity to drug
Cephalopelvic
disproportion
Fetal distress when
delivery is not imminent
Prolonged use in
uterine inertia or severe tox
emia
Hypertonic or
hyperactive uterine pattern
Unfavorable fetal position
or
presentation that's
undeliverable without conve
rsion

uterine
rupture.

the uterus. In
women who
are unusually
sensitive to
effects these
contractions
may become
too strong. In
rare cases, this
may lead to
tearing the
uterus.

Side Effects

Confusion
Convulsion
(seizures)
Difficulty in
breathing
Dizziness
Fast or
irregular
heartbeat
Headache
Hives

Be alert for
adverse
reactions and
drug indications.
Monitor fluid
intake and
output.
Antidiuretic
effect may lead
to fluid overload,
History:
Significant
cephallopelvicdis
proportion
unfavorable fetal
positions or
presentations,
severe toxemia,
uterine inertia,
hypertonic
uterine patterns,
previous
caesarian
section.
Physical: fetal
heart rat
(continuous
monitoring is
recommended);
fetal positions;
fetal pelvic

Labor induction or
augmentation when vaginal
delivery is contraindi-cated

Students Name: __________________________________________


Clinical Instructor: _________________________________________

proportions;
uterine tone;
timing and rate
of contraction;
breast
examinantion;
orientation;
reflex; pulse; BP;
edema;
adventitious
sound; CBC,
bleeding studies
, and urinary
output.