Name of Drug General Action Specific Action Adverse Effect Indication Contraindication Nursing

Responsibilities
OXYTOCIN OXYTOCIC Acts on smooth Mother: ANTEPARTUM: to Contraindicated with Before:
muscle of the CV: initiate or improve significant CPD, - Assess patient’s
uterus to stimulate Cardiac arrhythmia, uterine contractions to unfavorable fetal condition
Pitocin achieve early vaginal
contractions: hypertensive positions or -Perform hand
episodes delivery; stimulation or presentations, washing
Drug Classes: response depends reinforcement of labor
GI: obstetric -Verify physician’s
Hormone; on the uterine N&V, abdominal in selected cases of
emergencies that order
Oxytocic threshold of uterine inertia;
pain, cramping management of favor surgical -Prepare medication
excitability. It is CNS: headache, intervention,
inevitable or
Injection: selective for the dizziness incomplete abortion; prolonged use in During :
10 units/ml uterus, especially GU: second trimester severe toxemia, -Identify patient
toward the end of Pelvic hematoma, abortion uterine inertia, -Assess client in
pregnancy, during post-partum POSTPARTUM: to hypertonic uterine semi-fowler’s position
labor, and hemorrhage produce uterine patterns, induction or -Assess in
immediately contractions durin the augmentation of administering the
following delivery. Fetus: third stage of labor labor when vaginal medication to the
CV: delivery is patient
Oxytocin stimulates and to control
Bradycardia, contraindicated, -Position client in
rhythmic arrythmias
postpartum bleeding previous caesarean comfortable position
contractions of the CNS: or hemorrhage section, pregnancy
uterus, increases Permanent CNS or UNLABELED USE: (nasal). After:
the frequency of brain damage, to evaluate fetal -Document
existing distress (oxytocin
neonatal seizures Use cautiously with administration on
challenge test),
contractions and GI: treatment of breast renal impairment medication
raises the tone of Peptic ulcer, GI engorgement -Assess patient 30-
uterine bleeding, nausea, LACTATION 60 minutes after
musculature. diarrhea, administration and
DEFICIENCY
constipation, document the
abdominal pain, patient’s response to
anorexia, vomiting, medication
stomatitis
CNS:
Headache