Drug Name Mechanism of Indication Side Effects/ Contraindication Nursing
Action Adverse Reaction Considerations Generic Name: Oxytocin is a Labor induction Slow heart rate Significant Monitor fetal Oxytocin protein produced cephalopelvic heart rate. Postpartum bleeding Fast heart rate by the pituitary disproportion Brand Name: Monitor gland of mammals To precipitate labor Premature Syntocinon, Unfavorable fetal maternal status including man. ventricular Pitocin To accelerate positions or including blood Pitocin is a man- complexes and other Dosage, Route, made version of normal presentations pressure, pulse, irregular heartbeats and Frequency: oxytocin used for parturition and frequency, (arrhythmias) Obstetric emergencies duration, and stimulating Postpartum evacuation that favor surgery o.5-1 Permanent central intensity of mUnit/min contraction of the of uterine debris nervous system Fetal distress contractions. through iv q15- uterus. Oxytocin (CNS) or brain where delivery works by Postoperative Monitor fluid 60 min damage, and death increasing the contraction of the is not imminent balance. uterus following secondary to Classification: concentration of Adequate uterine calcium inside Cesarean section and suffocation Monitor for Pharmacologic muscle cells that activity fails to achieve postpartum or control of uterine Neonatal seizure class: Oxytoxic control contraction satisfactory progress hemorrhage. postabortion of the uterus. Neonatal yellowing Hyperactive or hemorrhage. Therapeutic Because of Oxytocin's Increased calcium of skin or eyes hypertonic uterus class: milk ejecting effect, it Monitor (jaundice) Hormones and increases will contract smooth Contraindicated lactation status. synthetic contraction of the muscle cells of the Fetal death vaginal delivery substitutes uterus. Assess mammary gland for Low Apgar score (5 Hypersensitivity contractions. milk letdown if the minute) nipple is in proper Assess Uteroplacental Fetal distress, physiological state. materna hypoperfusion and polyhydramnios, partial placenta previa, l electrolytes. References: variable deceleration prematurity, Assess fetus of fetal heart rate borderline May cause Drug Bank. (13 June cephalopelvic painful 2005). Inadequate fetal disproportion, contractions Oxytocin. oxygen levels previous major https://go.drugbank.co (hypoxia) May cause surgery of cervix or m/drug s/DB00107 uterine tetany Perinatal hepatic uterus (including C- MedicineNet. (05 necrosis section), over- May cause March 2019). Oxytocin distension of uterus, coma and (Pitocin). Fetal hypercapnia grand multiparity, seizures in Retrieved from Severe decreases in invasive cervical mother https://www.medicinen maternal systolic carcinoma, history of et.com Can cause and diastolic blood uterine sepsis or /oxytocin- asphyxia in pressure, increases traumatic delivery injectable/article.htm fetus in heart rate, Hyperstimulation of systemic venous Can cause ICH the uterus, with strong return and cardiac in fetus (hypertonic) and/or output, and prolonged (tetanic) arrhythmia contractions, or a resting uterine tone of 15-20 mm H2O between contractions may occur, possibly resulting in uterine rupture, cervical and vaginal lacerations, postpartum hemorrhage, abruptio