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Oxytocin

Maternity Meds

QuestionAnswer
OXYTOCIN USES stimulates somooth muscle of the uterus, milk let-down, IV, IM, intranasal administration, control of postpartum bleeding, induce or complete an abortion, cervical changes not noted until active phase of labor is achieved
ADVERSE REACTIONS/ CONTRAINDICATIONS allergies, dysryhtmias, BP changes, uterine rupture, H2o intoxication,nasal vasocontriction (intranasal route)
uterine hypertonicity RESULTS TO fetal or maternal injury
high doses RESULTS TO hypotension, then rebound hypertension
postpartum bleeding when medication wears off
DO NOT use with women who can't deliver vaginally or hypertonic uterine contractions
INTERVENTIONS VS q15, include LOC , I&O, and lung sounds, q15 frequency, duration, force of contractions, and uterine resting tone, q 15 FHR
IV piggy back, NS is the primary line. Document the dose of med, the times the med was started, increased, maintained, and d/c'd.
DO NOT leave client while Oxytocin is infusing.
If hyperstimulation or non-reassuring FHR occurs? Stop infusion, turn client on her side, increase IV rate of NS, O2 as ordered (mask). Have emergency equipment available.
Created by: diannebaci