Drug TRADE NAME: Oxytocin

Dosage/ Route Available Forms: 10 units/ml in 1ml ampule, vial or syringe in compatible IV solution.

Classification Pharmacologic Class: Posterior pituitary hormone Therpeutic Class: Uterine-active agent

Indication -to induce or stimulate labor

Contraindication -hypersensitive to drug when vaginal delivery is advised - cephalopelvic disproportion is present -when delivery requires conversion as in transverse lie

Side Effects CV: Hypertension, increased heart rate, systemic venous return, cardiac output GI: Nausea, vomiting RESPIRATORY: Anoxia, asphyxia OTHERS: Low APGAR score at 5 mins.

Nursing Responsibilities Continuously monitor contractions, fetal and maternal heart rate, and maternal blood pressure and ECG. Discontinue infusion if uterine hyperactivity occurs. Monitor patient extremely closely during first and second stages of labor because of risk of cervical laceration, uterine rupture and maternal and fetal death. Assess fluid intake and output. Watch for signs and symptoms of water intoxication.