Generic Name: Nursing Responsibilities

Oxytocin Action Rationale

Brand Name:
Pitocin 1. Check doctor’s order To know what to administer and what care to provide
the patient

Dose/ Route/Frequency:
10 units IM; 10 units IV 2. Observe the rights in medication administration of drug to the patient. To avoid improperly drug administration

Mechanism of Action:
Directly affects neuroreceptor sites to stimulate contraction of the uterus 3. Closely monitor and regularly assess your patient To determine when therapy needs to be adjusted to
during labor especially toward the end of the pregnancy, helping expel the improve patient response and minimize adverse reaction
baby. It also contracts myoepithelial cells in the breasts, causing milk to be
expressed from the alveoli into the ducts so that the baby can obtain it by
sucking.
Physiologic classification:
4. Monitor fluid intake and output Oxytocin may cause water intoxication
Oxytocic

5. Ensure fetal position and size and absence of complications that are To prevent complications
contraindicated with oxytocin before therapy
Pharmacologic Classification:
To prevent further complications
Exogenous Hormone 6. Monitor rate and strength of contractions; discontinue drug and notify
physician at any sign of uterine hyperactivity spasm

Desired Effect:

Used to induce labor, strengthen labor contractions during childbirth, or 7. Provide patient education about drug effects and warning signs to
control bleeding after childbirth. To enhance patient knowledge and to promote
report 
compliance
Indication/s:
Stimulation of uterine contractions during third stage of labor and control of
postpartum bleeding or hemorrhage.
Contraindication/s: To avoid ethical issues and baseline data
Hypersensitivity to oxytocin. Cephalopelvic disproportion. Fetal intolerance 8. Document and record
of labor. Anticipated non vaginal delivery.
Side Effects: Hypertension, dysrhythmias, tachysystole, and uterine hyperstimulation
Adverse Effects:
Hypertonocity may occur with tearing of uterus, increased bleeding, and abruption placentae. Fetal bradycardia. Low Apgar score at
5 mins.
CYRILL ALEXANDRIA G. TOLENTINO BSN 2B
Generic Name: Nursing Responsibilities
 Ferrous Fumarate and Folic Acid Action Rationale
Brand Name:
Feretts Iron 1. Check doctor’s order To know what to administer and what care to provide the patient

Dose/ Route/Frequency:
106 mg PO OD 2. Observe the rights in medication administration of drug to To avoid improperly drug administration
the patient.
Mechanism of Action:
Ferrous Fumarate is an iron compound that is used in prevention and treatment of 3. Closely monitor and regularly assess your patient To determine when therapy needs to be adjusted to improve
iron deficiency anemia. It provides a high level of elemental iron with low patient response and minimize adverse reaction
incidence of gastric distress. Folic acid is a precursor of a large family of
compounds which serves as coenzymes in carbon transfer reactions. These
reactions are required for the synthesis of purine and pyrimidine bases, inter-
conversion of glycine and serine, biosynthesis of methionine methyl groups and
degradation of histidine.
Physiologic classification:
4. Give drug ion empty stomach or with food To ensure optimal effect of drug
Vitamin and mineral combination

5. Monitor daily blood pressure To monitor fluctuation or lowering in blood pressure

Pharmacologic Classification:
To prevent iron deficiency
Anti-anemic drug 6. Avoid drinking coffee and dairy foods

Desired Effect:

Used to treat or prevent low blood levels of iron 7. Provide patient education about drug effects and warning
signs to report  To enhance patient knowledge and to promote compliance
Indication/s:
Indicated to people who have prophylaxis of iron efficiency in pregnancy
Contraindication/s: To avoid ethical issues and baseline data
Anemia other than those due to iron deficiency, paroxysmal nocturnal 8. Document and record
haemoglobinuria, haemosiderosis, haemochromatosis and haemaglobnopathies,
active peptic ulcer, inflammatory bowel disease, including regional enteritis and
ulcerative colitis, intestinal structures and diverticulae.
Side Effects: Hives, difficulty breathing, swelling of your face, lips, tongue, or throat
Adverse Effects:
GI: Nausea, anorexia, vomiting, constipation or diarrhea, abdominal cramps, heartburn, black stool
 Generic Name: Nursing Responsibilities
Hyoscine N-Butyl Bromide Action Rationale
Brand Name:
Hyoscine 1. Check doctor’s order To know what to administer and what care to provide the patient

Dose/ Route/Frequency:
10 mg – 1 amp IV q1˚ for 6 doses 2. Observe the rights in medication administration of drug to To avoid improperly drug administration
the patient.
Mechanism of Action:
Act by competitive antagonism to acetylcholine at post ganglionic 3. Closely monitor and regularly assess your patient To determine when therapy needs to be adjusted to improve
parasympathetic nerve ending which reduce duration of labor by accelerating patient response and minimize adverse reaction
cervical dilation without major side effects
Physiologic classification:
4. Observe safety precautions To prevent injury
Restores fluid and electrolyte balances, produces diuresis, and acts as alkalizing
agent
5. Provide thorough patient teaching and the need for In order for the patient to be aware about the procedure done to
monitoring and evaluation her
Pharmacologic Classification:

Sterile solution for fluid and electrolyte replenishment 6. Provide patient education about drug effects and warning To enhance patient knowledge and to promote compliance
signs to report 

Desired Effect:
Reduce spasm of smooth muscle and pain
7. Document and record
Indication/s: To avoid ethical issues and baseline data
Prevention of prolonged labor and causes pain relief

Contraindication/s:
Hypersensitivity to this drug or its drug component
Side Effects: Nausea, trouble urinating and dry mouth
Adverse Effects:
Rash, itching, edema, bradycardia, tachycardia and vision problems

Generic Name: Nursing Responsibilities

Dextrose in 5% Lactated Ringer’s Action Rationale
 Brand Name:
1. Check doctor’s order To know what to administer and what care to provide the patient

Dose/ Route/Frequency:
D5LR 1L x 12 hrs 2. Observe the rights in medication administration of drug to To avoid improperly drug administration
the patient.
Mechanism of Action:
Administration of this fluid increases the solute concentration of plasma, 3. Closely monitor and regularly assess your patient To determine when therapy needs to be adjusted to improve
allowing water out the cell and into the extra cellular compartment to restore patient response and minimize adverse reaction
osmotic equilibrium, the cell will shrink
Physiologic classification:
4. Observe safety precautions To prevent injury

Nonpyrogenic, parental fluid, electrolyte and nutrient replenisher

5. Provide thorough patient teaching and the need for In order for the patient to be aware about the procedure done to
monitoring and evaluation her
Pharmacologic Classification:
To enhance patient knowledge and to promote compliance
Hypertonic 6. Provide patient education about drug effects and warning
signs to report 

Desired Effect:

It replaces fluid loss, replenishment of electrolyte and caloric supply 7. Document and record
To avoid ethical issues and baseline data
Indication/s:
Indicated as a source of water, electrolytes and calories or an alkalinizing agent
Contraindication/s:
Hypersensitivity to any of the drug components
Side Effects: Itching hives, swelling of the face, coughing and sneezing

Adverse Effects:
Febrile, infection at the site of injection, venous thrombosis or phlebitis extending from the site of infection, extravasation and
hypervoemia

MEDICATION CARD
D5LR Ferrous Fumarate and Folic Acid

HNBB Oxytocin