Oxytocin

How much solution do we give with 60 units (6mL) of Oxytocin

1000mL solutions

How much solution do we give with 15 units (1.5mL) of Oxytocin

250mL solution

How much solution do we give with 30units (3mL) of Oxytocin

500mL solution

What is the trade name for Oxytocin

Pitocin

What are the low and high starting dose for Oxytocin

low 0.5-2 miliunits/min , high 6miliunits/min

What is the MOA of Oxytocin

synthetic compound identical to the natural hormone released from the posterior pituitary ; stimulates uterine smooth muscle (increased strength, duration, frequency of contractions); vasoactive and antidiuretic

Do we give a bolus after birth when a mother received Oxytocin

yes

How long do we assess FHR when giving Oxytocin

• Asses FHR for at least 20 minutes before induction • Observe FHR for tachycardia, bradycardia, decreased variability

What nursing considerations are for Oxytocin

• Asses FHR for at least 20 minutes before induction • Observe FHR for tachycardia, bradycardia, decreased variability • Observe UA for establishment of effective labor patterns • Give in miliunits o Inductions are rapid after administration • Bolus after birth

How should we give Oxytocin through the IV

• IV infusion via secondary piggyback line; controlled pump

What is the dosage of Oxytocin

• IV infusion via secondary piggyback line; controlled pump o 60miliunits/mL oxytocin mixtures ▪ 15 units (1.5mL) + 250mL solution ▪ 30 units (3mL) + 500mL solution ▪ 60units (6mL) + 1000mL solutions • Starting dose: low 0.5-2 miliunits/min , high 6miliunits/min • Increase dose: 1-2 miliunits/min every 15-40min, 6miliunits/min • Reducing dose is same once active labor is achieved

How much do we increase the dose of Oxytocin

• Increase dose: 1-2 miliunits/min every 15-40min, 6miliunits/min

What are the indications for Oxytocin

• Induction or augmentation of labor at or near term • Maintenance of firm uterine contractions after birth to control postpartum bleeding

What are contraindications for Oxytocin

• Placenta previa, vasa previa • Indeterminate or abnormal fetal heart rate patterns • Abnormal fetal presentation • Prolapse of the umbilical cord • Active general herpes • Pelvic structural deformities • Invasive cervical carcinoma

What is oxytocin used for?

Stops hemorrhage; stimulates contractions; induces labor at term