Oxytocin

Question 0

Oxytocin Classification

Answer 0

Hormonal Agent

Question 1

Oxytocin Brand Name

Answer 1

Pitocin

Question 2

Oxytocin MOA

Answer 2

1. Naturally occurring posterior pituitary hormone
   a. Stimulates contraction of uterine smooth muscle
   b. Stimulated mammary gland smooth muscle resulting in lactation
   c. Increases renal, coronary, and cerebral blood flow

Question 3

Oxytocin Indications

Answer 3

1. Postpartum hemorrhage after infant and placental delivery that is not controlled by fundal massage or breast feeding
2. May be used to induce labor in a hospital setting only

Question 4

Oxytocin Contraindications

Answer 4

Following a C-Section

Question 5

Oxytocin Maternal Side Effects

Answer 5

Cardiovascular: dysrhythmias, chest pain, HTN

Neurological: seizures

Respiratory: dyspnea

Gastrointestinal: N/V

Genitourinary: Sever uterine cramping, uterine rupture

Question 6

Oxytocin Fetal Side Effects

Answer 6

Cardiovascular: bradycardia, ectopic rhythms

Neurological: intracranial hemorrhage

Respiratory: hypoxia, asphyxia

Question 7

Oxytocin Precautions

Answer 7

Ensure the baby and the placenta have been delivered prior to administration to prevent placental retention

Question 8

Oxytocin Interactions

Answer 8

Use with other vasopressors can increase the risk of HTN

Question 9

Oxytocin Routes of Admin

Answer 9

IVPB, IM

Question 10

Oxytocin Onset and Duration of Action

Answer 10

Onset is immediate with IVPB admin , 3-7 minutes IM. Both with unknown durations