Oxytocin Pitocin

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Author:
jscott
ID:
111394
Filename:
Oxytocin Pitocin
Updated:
2011-10-23 13:43:05
Tags:
drugs
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Description:
pharm drugs
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  1. Oxytocin Pitocin Class
    pituitary hormone
  2. Oxytocin Pitocin Action
    • 1. stimulates uterine smooth muscle contraction indirectly, and helps expedite the normal contractions of a spontaneous labor.
    • 2. transient reduction in uterine blodd floe
    • 3. stimulates the mammary glands to increase lactation without increasing the production of milk.
  3. Oxytocin Pitocin Use
    postpartum hemorrhage after infant and placental delivery
  4. Oxytocin Pitocin Conttraindication
    presence of a second fetus
  5. Oxytocin Pitocin Side effects
    • Mother:
    • CNS- seizures
    • RESP- dyspnea
    • CARDIO- chest pain, hypertension, increased cardiac output, PVCs, tachycardia
    • GASTRO- n/v
    • OTHER- anaphylaxis, severe uterine cramping, uterine rupture
    • Fetal:
    • CNS- intracranial hemorrhage
    • RESP- asphyxia, hypoxia
    • CARDIO- bradycardias, ectopics
  6. Oxytocin Pitocin Special notes
    • 1. commonly used in conjuction with fluid replacement, uterine message, PASG, and having the infant nurse
    • 2. May cause placental retention if given prior to placental delivery
    • 3. vasopressors may potentiate hypertension
  7. Oxytocin Pitocin preparations
    • 10 units/ml ampule
    • 5 units/ml ampule
  8. Oxytocin Pitocin adult dose
    • IM: 3-10 units only if unable to start an IV
    • IV: mix 10-20 units in 1000 ml to yeild 10-20 mU/ml administer @ 100-125 ml/hr titrated to the severity of hemorrhage and uterine response
  9. Oxytocin Pitocin pedi dose
    not given

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