Note: Any up-dates are to be completed in different color ink.

k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME DOSE, ROUTE, TIMES EFFECTS PREGANCY
GENERIC/TRADE INDICATION/ ACTION DOSGE FOOD/DRUG SIDE EFFECTS FETUS AND/OR NURSING CONSIDERATIONS
CLASSIFICATION RANGE INTERACTIONS NEONATE
(PHARM) AND (include therapeutic
PREGNANCY dose calculation)
CATEGORY
Oxytocic effect due to Injection (IM/IV) Use with Cardiac arrhythmia, Induces labor, Assess fetal maturity, position, and hx
Oxytocin increase sodium ion Adult 10unit/ml Adrenergics, hypertensive episodes, postpartum of hypersensitivity, pain. Administer
(Pitocin) permeability in uterine vasopressors can postpartum hemorrhage, fetal IV use infusion pump, do not give IV
smooth muscle cells, Ante partum – Start produce severe hemorrhage, fetal bradycardia, pelvic push, patient in left lateral position and
Oxytoxic which increase number of with infusion rate 1- hypertension. bradycardia, GI N/V, hematoma, uterine do not leave unattended, have
contracting myofibrils, 2mU/m, slowly Hypersensitivity, GU pelvic hematoma, hypertonicity, emergency support equipment
Preg. Cat.C enable uterus to contract, increase until cephalopelvic uterine hypertoniciy, spasms, tetanic available, avoid over stimulation of
uterine sensitivity to contractions reach disproportion, spasms, tetnic contractions, rupture uterus. Monitor BP, pulse q 15m, fetal
OLDs Page 600-609 oxytocin gradually desired rate, intensity. unfavorable fetal contractions, rupture. heart rate, intrauterine pressure, signs
increase during pregnancy, Postpartum – IV 10- position, obstetric of uterine rupture, fetal distress, uterine
Parmacology for Nsg reaching peak before 40unit 1000ml, emergencies that contractions, stop if very frequent (<
Care Page 747 parturition. infused at sufficient favor surgical q2m) or prolonged. Assess hydration
rate to control uterine intervention, fetal status (continuous infusion, PO fluids
Mosby’s Nsg Drug atony. distress when can lead to H2O intoxication). Maintain
Card 211 --IM 3-10 units after delivery not Hemodynamics, relaxation techniques,
delivery of placenta imminent, comfort measures. Explain occurrence
prolonged use in of contractions.
uterine patterns
when vaginal
delivery is
contraindicated.
Induction &/or
stimulation of labor
must be given by IV
route. Use should be
limited to medical
and not elective
induction of labor.

PHARM
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UZ2/Zip 9/RSNG 2263 Packet