DRUG-STUDY - West Visayas State University COLLEGE OF...

Info icon This preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City DRUG STUDY Name of Patient:_________________ Attending Physician:________________ Age:____________ Ward/Bed Number:________________ Impression/ Diagnosis:______________ Name of Drug Dosage, Route, Frequency and Timing Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities Generic: oxytocin Brand: Pitocin Dosage: 1 amp Route: IM Frequency: once Timing: Oxytocin is a protein produced by the pituitary gland of mammals including man. Pitocin is a man-made version of oxytocin used for stimulating contraction of the uterus. Oxytocin works by increasing the concentration of calcium inside muscle cells that control contraction of the uterus. Increased calcium increases contraction of the uterus. The FDA approved oxytocin in November 1980. Oxytocin is used for inducing labor, controlling bleeding after child birth, and treatment of incomplete or inevitable abortion Anaphylactic reaction Postpartum hemorrhag e Cardiac arrhythmia Fatal afibrinogenemia Premature ventricular c ontractions Pelvic hematoma Subarachnoid hemorrhage Hypertensive episodes Rupture of the uterus Risk of water intoxication when used at high doses for prolonged periods. All patients receiving intravenous oxytocin must be under continuous observation by trained personnel who have a thorough knowledge of the drug and are qualified to identify complications. A physician qualified to manage any complications should be immediately available. Electronic fetal monitoring provides the best means for early detection of overdosage . However, it must be borne in mind that only intrauterine pressure recording can accurately measure the intrauterine pressure during contractions. A fetal scalp electrode provides a more dependable recording of the fetal heart rate than any external monitoring system. Except in unusual circumstances, oxytocin should not be administered in the following conditions: fetal distress , hydramnios, partial placenta previa , prematurity , borderline cephalopelvic disproportion, and any condition in which there is a predisposition for uterine rupture , such as previous major surgery on the cervix or uterus including cesarean section , overdistention of the uterus, grand multiparity, or past history of uterine sepsis or of traumatic Continuously monitor contractions, fetal and maternal heart
Image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern