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University of Saint Louis

Tuguegarao City, Cagayan 3500


SCHOOL OF HEALTH AND ALLIED SCIENCES
COLLEGE OF NURSING
2ND SEMESTER, AY 2021-2022
BACHELOR OF SCIENCE IN NURSING – LEVEL IV
Name of Patient: Babeth
Diagnosis or Clinical Impression: Disseminated Intravascular Coagulopathy

DRUG CLASS DRUG SIDE EFFECTS TO ADVERSE PRIORITIZED NURSING


DISTRIBUTIO THE TARGET EFFECTS TO THE CONSIDERATIONS
N AND ORGAN SYSTEM TARGET ORGAN
METABOLISM SYSTEM

Syntocinon 10 I.U/ Distributed  Cardiac  Fetal distress  Start a primary line


ml throughout the disorders: with 1000 mL IV
extracellular Bradycardia.  Asphyxia fluid
Oxytocin and
fluid. Crosses  Start a second line
Analogues
placenta, enters  Gastrointestina with standardized
breast milk in l disorders:  Hypertonicity concentration of
small amounts Nausea, oxytocin in IV fluid
and is vomiting.  Tetanic  Ensure the bags and
metabolised in contractions tubing are labeled
the liver and  Immune clearly
kidneys. system  Rupture of the  Insert oxytocin
disorders: uterus. infusion into
Anaphylaxis. mainline IV by
connect to port
 Nervous nearest to IV
system insertion site
disorders:  Always administer
Headache. oxytocin via
infusion pump
 Titrate infusion
University of Saint Louis
Tuguegarao City, Cagayan 3500
SCHOOL OF HEALTH AND ALLIED SCIENCES
COLLEGE OF NURSING
2ND SEMESTER, AY 2021-2022
BACHELOR OF SCIENCE IN NURSING – LEVEL IV
according to client
and fetal response
 Monitor VS and
I&O
 Monitor frequency,
duration, and force
of contractions;
resting uterine tone
 Monitor FHR
pattern
 If adverse reactions
are observed
immediately stop
the infusion
 Turn the client on
their side, stay with
them while you ask
another nurse to
notify the HCP
 Increase the rate of
the mainline IV
fluid
 Provide
supplemental
oxygen at 8–10
L/min via face
mask
University of Saint Louis
Tuguegarao City, Cagayan 3500
SCHOOL OF HEALTH AND ALLIED SCIENCES
COLLEGE OF NURSING
2ND SEMESTER, AY 2021-2022
BACHELOR OF SCIENCE IN NURSING – LEVEL IV
 Assess VS and
FHR
 Provide client
education about
how oxytocin will
affect their
contractions
 Report headache,
dizziness,
palpitations, or
intense pain

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