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OXYTOCIN
NAME/CLASS: Pitocin/hormone DES: - naturally occurring hormone that causes uterus to contract, thereby
- inducing labor, encouraging delivery of the placenta, &
- controlling postpartum hemorrhage.
IND: severe postpartum hemorrhage CI: hypersensitivity, prehospital admin before delivery of infant or - infants.
PC: before delivery may induce uterine rupture & fetal - dysrhythmias, hypertension, intracranial bleeding, or asphyxia.
- uterine tone. ECG, and vital signs should be monitored during
- administration.
DOSE: 3-10 units IM after delivery of placenta. 10-20 - units in 1,000 mL of D5W or NS IV titrated to effect.
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RACEMIC EPINEPHRINE
NAME/CLASS: microNefrin, Vaponefrin/sympathomimetic agonist DES: variation of epinephrine used only for inhalation to induce bronchodilation & reduce laryngeal edema & mucus secretion. IND: croup (laryngotracheobronchitis) CI: hypersensitivity, hypertension, or epiglottitis PC: may result in tachycardia & other dysrhythmias. vital signs & ECG should be monitored. DOSE: 0.25-0.5 mcg in 3 mL NS once by nebulizer. Ped: same
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