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Oxytocin Pitocin Class
pituitary hormone
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Oxytocin Pitocin Action
- 1. stimulates uterine smooth muscle contraction indirectly, and helps expedite the normal contractions of a spontaneous labor.
- 2. transient reduction in uterine blodd floe
- 3. stimulates the mammary glands to increase lactation without increasing the production of milk.
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Oxytocin Pitocin Use
postpartum hemorrhage after infant and placental delivery
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Oxytocin Pitocin Conttraindication
presence of a second fetus
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Oxytocin Pitocin Side effects
- Mother:
- CNS- seizures
- RESP- dyspnea
- CARDIO- chest pain, hypertension, increased cardiac output, PVCs, tachycardia
- GASTRO- n/v
- OTHER- anaphylaxis, severe uterine cramping, uterine rupture
- Fetal:
- CNS- intracranial hemorrhage
- RESP- asphyxia, hypoxia
- CARDIO- bradycardias, ectopics
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Oxytocin Pitocin Special notes
- 1. commonly used in conjuction with fluid replacement, uterine message, PASG, and having the infant nurse
- 2. May cause placental retention if given prior to placental delivery
- 3. vasopressors may potentiate hypertension
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Oxytocin Pitocin preparations
- 10 units/ml ampule
- 5 units/ml ampule
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Oxytocin Pitocin adult dose
- IM: 3-10 units only if unable to start an IV
- IV: mix 10-20 units in 1000 ml to yeild 10-20 mU/ml administer @ 100-125 ml/hr titrated to the severity of hemorrhage and uterine response
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Oxytocin Pitocin pedi dose
not given
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