oxytocin (Pitocin)

Action

Stimulates uterine smooth muscles, producing uterine contractions similar to those in spontaneous labor. Has a vasopressor and antidiuretic effect

Client Teaching

Explain use of oxytocin for induction, need for electronic monitoring, equipment used Explain use of oxytocin to control bleeding and related assessments Teach pain control measures

Administration

IV, IM

Add Info

Indictions: induction of labor at term; postpartum control o bleeding after expulsion of the placenta. Magnesium sulfate or Terbutaline are the antidotes

Side Effects

Induction use: Maternal: Increase uterine motility (hypo contractility) leading to: placental abruption, rapid labor & birth, uterine rupture. Water intoxication. Fetal: rapid labor and birth leading to: fetal hypoxia, trauma to fetal head Post delivery use: increased afterbirth pains

Pharmacologic

oxytocics

Nursing Implications:

Induction: Assess fetal maturity, presentation and pelvis adequacy prior to beginning infusion Assess fetal heart rate for reassuring status for 15-20 mins prior to beginning Must have mainline IV. Oxytocin is piggybacked through an infusion pump Assess frequency and duration of uterine contractions, uterine resting with continuous electronic monitoring Assess for symptoms of water intoxication (confusion, lack of thirst, confusion, anuria) Monitor maternal blood pressure and pulse frequently Post delivery: Assess uterine fundus and flow for response, utilize pain relief measures

Therapeutic

hormones