Oxytocin (Pitocin)

Question 1

Class

Answer 1

Hormone

Uterine stimulant

Question 2

Actions

Answer 2

Induces smooth muscle contraction

Question 3

Indications

Answer 3

In the hospital setting only, may be used to induce labor in certain cases.
Postpartum hemorrhage after infant and placental delivery, in conjunction with fundal massage

Question 4

Contraindications

Answer 4

Should not be used prior to delivery of the fetus and the placenta in the prehospital setting.

Question 5

Side effects

Answer 5

Uterine rupture from excessive administration.
Hypotension
N/V
Tachycardia
PVCs.
Prolonged administration with NS may lead to water intoxication, and cause Sz, comas, and death

Question 6

Precaution

Answer 6

Should be used in conjunction with correct fundal massage.

VS, firmness or uterus, and vaginal bleeding should be monitored.