Maternity Meds
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| 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
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| ADVERSE REACTIONS/ CONTRAINDICATIONS | allergies, dysryhtmias, BP changes, uterine rupture, H2o intoxication,nasal vasocontriction (intranasal route)
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| uterine hypertonicity RESULTS TO fetal or maternal injury
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| high doses RESULTS TO hypotension, then rebound hypertension
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| postpartum bleeding when medication wears off
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| DO NOT use with women who can't deliver vaginally or hypertonic uterine contractions
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| INTERVENTIONS | VS q15, include LOC , I&O, and lung sounds, q15 frequency, duration, force of contractions, and uterine resting tone, q 15 FHR
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| 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.
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| DO NOT leave client while Oxytocin is infusing.
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| 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.
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