Drug Dosage/Route

Classification Indication Contraindica-tion

Side Effects Nursing Responsibilities

TRADE NAME:

Oxytocin

Available Forms:

10 units/ml in 1ml ampule, vial or syringe in compatible IV solution.

Pharmacologic Class:

Posterior pituitary hormone

Therpeutic Class:

Uterine-active agent

-to induce or stimulate labor

-hypersensitive to drug when vaginal delivery is advised

- cephalopelvic disproportion is present

-when delivery requires conversion as in transverse lie

CV: Hypertension, increased heart rate, systemic venous return, cardiac output

GI: Nausea, vomiting

RESPIRATORY: Anoxia, asphyxia

OTHERS:Low APGAR score at 5 mins.

♥ 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.