NAME OF DRUG GENERIC NAME: Oxytocin

CLASSIFICATION /ACTION CLASSIFICATION: Genitourinary drug.

DOSAGE/ROUTE/ FREQUENCY PRECAUTION: DOSAGE: 10 units

ADVERSE REACTION

NURSING INTERVENTION

Contraindicated in patients hypersensitive to the drugs and any of its component. During first and second stages of labor, use cautiously because cervical laceration, uterine rupture, and

> Observe 10 rights in giving medication. > Assess patients condition before starting therapy and regularly thereafter.

ROUTE: ACTION: BRAND NAME: Pitocin To induce and stimulate labor. FREQUENCY: I.V.

maternal and fetal death may occur.

ADVERSE REACTION: CNS: coma from water intoxication, seizures, subarachnoid hemorrhage from hypertension. CV: arrhythmia; hypertension, increased heart rate, systemic venous return and cardiac output. GI: nausea, vomiting. GU: abruption placenta, increased uterine motility, impaired uterine blood flow, pelvic hematoma, postpartum hemorrhage, uterine rupture. Other: anaphylaxis CNS: permanent CNS or brain damage, neonatal seizures CV: bradycardia, tachycardia Hematologic: hyperbilirubinemia Respiratory: anoxia, asphyxia Other: fetal death

> Monitor and record uterine contractions, heart rate, BP, intrauterine pressure, FHB, and blood loss every 15 mins. > Be alert for adverse reactions and drug interactions. > Monitor fluid intake and output. Antidiuretic effect may lead to fluid overload, seizures and coma. > Assess patients and familys knowledge of drug therapy.