LORMA COLLEGES CON TEMPLATE

DRUG STUDY
RELATED LEARNING EXPERIENCE

STUDENT
NAME: BUGAYONG, Jed Kachel C. ROTATION: 4th Rotation AREA: OBGYN
YR LEVEL
AND SEC: CLINICAL INSTRUCTOR: Mrs. Concepcion Bautista
BSN II- Imogene King DATES: October 5, 6, 7, 12, 20, 21

DRUG MECHANISM OF
NAME CLASSIFICATION ACTION INDICATION CONTRAINDICATION SIDE EFFECTS NURSING RESPONSIBILITIES
Generic Pharmacotherapeuti Activates receptors Antepartum: The drug is not contraindicated to the BASELINE ASSESSMENT:
Name: c: Uterine smooth that trigger increase  Induction of labor in pts patient however its contraindications  Assess baselines for vital signs,
Oxytocin muscle stimulant in intracellular with medical indication are: B/P, fetal heart rate.
Clinical: Oxytocic calcium levels in (e.g., at or near term),  Determine frequency, duration,
Brand agent uterine myofibrils; to stimulate  Hypersensitivity to strength of contractions.
name: increases reinforcement of labor, oxytocin.
Pitocin prostaglandin as adjunct in managing  Adequate uterine INTERVENTION/EVALUATION:
production. incomplete or inevitable activity that fails to  Monitor B/P, pulse,
Dosage: abortion. progress respirations, fetal heart rate,
Therapeutic effect: Postpartum:  cephalopelvic intrauterine pressure,
Not indicated disproportion
stimulates uterine  To produce uterine The drug has no side effects to the patient contractions (duration,
Frequency: contraction contractions during  fetal distress without however its side effects are: strength, frequency) q15min.
third stage of labor and imminent delivery  Notify physician of contractions
Not indicated  grand multiparity Occasional:
to control postpartum that last longer than 1 min,
 hyperactive or  Tachycardia, premature
Route: bleeding/hemorrhage. occur more frequently than
hypertonic uterus ventricular contraction,
every 2 min, or stop.
Not indicated  obstetric emergencies hypotension, nausea, and
 Maintain careful I&O; be alert
that favor surgical vomiting.
Timing: to potential water intoxication.
intervention Rare:
 Check for blood loss.
Not indicated  prematurity,  Nasal:
unengaged fetal head Lacrimation/tearing,
Form: PATIENT/FAMILY TEACHING
 unfavorable fetal  Nasal irritation
 Keep patient, family informed
Liquid position/presentation,  Rhinorrhea
of labor progress.
when vaginal delivery is  Unexpected uterine
contraindicated (e.g., bleeding/ contractions.
active genital herpes ADVERSE EFFECTS/ TOXIC
REACTIONS
 Hypertonicity may occur
with tearing of uterus.
 increased bleeding
 abruptio placentae (i.e.,
placental abruption)
 cervical/vaginal
lacerations.
 Fetal: Bradycardia
 CNS/brain damage
 Trauma due to rapid
propulsion
 Low Apgar score at 5 min
 Retinal hemorrhage
occurs rarely.
 Prolonged IV infusion of
oxytocin with excessive
fluid volume has caused
severe water intoxication
with seizures, coma,
death.