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Oxytocin Drug Study for Labor Management

This document summarizes the use of oxytocin (Pitocin) for a 31-year old female patient who is admitted for labor pain. Oxytocin is an oxytocic drug used to induce or improve uterine contractions for labor and delivery, as well as to control postpartum bleeding. It works by stimulating uterine myofibril activity and mammary smooth muscle. Potential adverse effects include fetal distress, arrhythmias, hypotension, and uterine rupture. Precautions are noted for women with certain medical conditions or risk factors. Nursing responsibilities in monitoring the patient and fetal status, vital signs, intake and output, and communicating with the physician are outlined.
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0% found this document useful (0 votes)
79 views3 pages

Oxytocin Drug Study for Labor Management

This document summarizes the use of oxytocin (Pitocin) for a 31-year old female patient who is admitted for labor pain. Oxytocin is an oxytocic drug used to induce or improve uterine contractions for labor and delivery, as well as to control postpartum bleeding. It works by stimulating uterine myofibril activity and mammary smooth muscle. Potential adverse effects include fetal distress, arrhythmias, hypotension, and uterine rupture. Precautions are noted for women with certain medical conditions or risk factors. Nursing responsibilities in monitoring the patient and fetal status, vital signs, intake and output, and communicating with the physician are outlined.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.

MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002

DRUG STUDY
Name of Patient: Attending Physician:__________________________________
Age: 31 Sex: F Civil Status: Married
Diagnosis:__________________________________________
Occupation: Religion: Baptist Chief Complaint:_ Labor
Pain___________________________
Address: Date of Admission: September 05, 2023_________________
DATE/ BRAND ROUTE/ DRUG ADVERSE NURSING
TIME NAME ACTION INDICATION DOSAGE/ INTERACTION EFFECT PRECAUTION/ RESPONSIBILITIES
CONTRAINDICATIONS
ORDERE TIME
D INTERVAL
An oxytocic -Antepatum: to  Caudal Significant: Fetal Precautionary Use:  Continue
that affect initiate or IM / 10 units / block distress, arrhythmias, Women with borderline monitoring
Pitocin uterine improve uterine administer after anesthetics, hypotension, cephalopelvic necessary for IV
myofibril contractions to placenta delivery vasopressors myocardial ischemia, disproportion, use (length,
activity and achieve early : May peripheral secondary uterine intensity, duration
stimulates vaginal delivery; increase vasodilation, inertia, mild or of contractions) ;
mammary stimulation or pressor tachycardia, QT moderate degrees of fetal heart rate –
smooth reinforcement of effects prolongation, uterine pregnancy-induced acceleration,
muscle. labor in selected hypertonicity, spasm, hypertension, CV deceleration, fetal
GENERIC cases of uterine HALF-LIFE  Other tetanic contraction, disease (e.g. distress
NAME inertia; oxytocics: disseminated hypertrophic  Notify the
management of 1-6 mins. May cause intravascular cardiomyopathy, Physician of
Oxytocin inevitable or cervical coagulation (DIC). valvular heart disease, uterine contractions
incomplete lacerations, Cardiac disorders: ischemic heart disease, that last longer than
abortion; second uterine Bradycardia. coronary artery 1 min, occur more
trimester hypertonus, Gastrointestinal vasospasm), long QT frequently than
abortion uterine disorders: Nausea, syndrome, every 2 mins, or
-Postpartum: To rupture vomiting. hemodynamically stop
CLASSIFI- produce uterine ABSORPTION EXCRETION Immune system unstable states, history  Monitor vital sign
CATION contractions disorders: of lower-uterine-  Monitor I and O
Uterine during the third Rapidly absorbed Primarily excreted in Anaphylaxis. segment caesarean  Monitor for
stimulant, stage of labor through nasal urine. Nervous system section. Women ≥35 unexpected or
oxytocic and to control mucous disorders: Headache. years. Not intended for increased blood
postpartum membranes. Pregnancy, elective induction of loss.
bleeding or puerperium and labor. Pregnancy and
hemorrhage. perinatal conditions: lactation.
-lactation Postpartum
deficiency hemorrhage.
-Unlabeled use; Reproductive system Contraindicated:
To evaluate fetal and breast disorders: Adequate uterine
distress Pelvic hematoma. activity that fails to
(oxytocin Potentially Fatal: progress, cephalopelvic
challenge test), Water intoxication, disproportion, fetal
treatment of hypertension, distress without
breast subarachnoid imminent delivery,
engorgement hemorrhage, rupture grand multiparity,
of the uterus. hyperactive or
hypertonic uterus,
obstetric emergencies
that favor surgical
intervention,
prematurity, unengaged
fetal head, unfavorable
fetal position or
Ward: Pedia Room No: 101 Bed No: _6____
Student Name: Year & Sec.: Group No.: Rating:__________________
References_______________________________________________________________________ Criteria: Promptness (15%), Format/Neatness (15%), Assessment (15%),
Nursing Diagnosis (15%), Objectives (15%), Objectives of Care (10%), Nursing Action (30%), Evaluation (10%)
Clinical Instructor:____________________________________

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