Oxytocin(pitocin)

Question 1

Oxytocin

Answer 1

Pitocin

Question 2

Oxytocin(pitocin)

Classification

Answer 2

Hormone/ uterine stimulant

Question 3

Oxytocin(pitocin)

Mechanism

Answer 3

Promotes contraction of uterine muscle and lactation

Question 4

Oxytocin(pitocin)

Pharmacokinetics

Answer 4

Onset: immediate Iv, 3-7 min IM
Peak:varies
Duration:1 hour IV, 2-3 hrs IM
1/2life:3-5 minutes

Question 5

Oxytocin(pitocin)

Indications

Answer 5

Post-partum hemorrhage

Question 6

Oxytocin(pitocin)

Contraindications

Answer 6

Baby and placenta not delivered, additional fetus present

Question 7

Oxytocin(pitocin)

Side effects

Answer 7

• hypotension
• tachycardia
• dysrhythmias
• seizure
• coma
• n+v
  If given prior to fetal delivery; fetal hypoxia, asphyxia, intra cranial pressure

Question 8

Oxytocin(pitocin)

Dose

Answer 8

Adult: 3-30 units IM
Adult: 10-20 units in 500 ml or 1000 ml d5w,NS, or LR- slow IV,IO infusion

Question 9

Oxytocin(pitocin)

Precaution

Answer 9

Can cause over stimulation of uterus, possible uterine rupture

Monitor vitals and uterine tone

Question 10

Oxytocin(pitocin)

Drug to drug

Answer 10

Htn when given with vasoconstrictors such as NE