Oxytocin (Pitocin) Nursing Considerations

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Kara Tarr
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Outline

Objective

Demonstrate a comprehensive understanding of the nursing considerations associated with oxytocin administration, including its indications, pharmacological properties, potential effects on both the mother and fetus, and the essential monitoring and assessment techniques required to ensure safe and effective use during labor induction and postpartum care.

Generic Name

oxytocin

Trade Name

Pitocin

Indication

  • labor induction
  • postpartum bleeding

Action

stimulates uterine smooth muscle

Therapeutic Class

hormones

Pharmacologic Class

oxytocics

Nursing Considerations

• can cause ICH in fetus
• can cause asphyxia in fetus
• may cause coma and seizures in mother
• may cause painful contractions
• assess fetus
• assess contractions
• monitor blood pressure
• assess maternal electrolytes
• may cause uterine tetany

Potential Effects and Monitoring

  • Fetal Intracranial Hemorrhage (ICH): Monitor the fetus closely for any signs of intracranial hemorrhage.
  • Fetal Asphyxia: Assess the fetus for signs of asphyxia.
  • Maternal Coma and Seizures: Be vigilant for any indications of coma or seizures in the mother.
  • Painful Contractions: Inform the patient about the possibility of painful contractions.
  • Fetal Assessment: Regularly assess the fetus for its well-being.
  • Contractions Monitoring: Continuously monitor the strength and frequency of uterine contractions.
  • Blood Pressure: Keep a close watch on the maternal blood pressure levels.
  • Maternal Electrolytes: Assess and maintain maternal electrolyte balance.
  • Uterine Tetany: Watch out for any signs of uterine tetany.

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Transcript

Hey guys, let’s take a look at oxytocin. Also known as Pitocin. This is an IV medication, as you can see here. So the therapeutic class, or how oxytocin works in the body is it is a hormone while the pharmacologic class or the chemical effect of oxytocin is an oxytocin agent. 

So oxytocin works because it simulates uterine smooth muscle and is indicated for labor induction as well as for postpartum bleeding. So some of the side effects that we see with oxytocin are things like uterine te headache, tachycardia, and sometimes nausea and vomiting. So a few nursing considerations for oxytocin. It’s important to note that there are some concerns for the fetus, with oxytocin, including it may cause intracranial Ridge in the fetus, as well as asphyxia. Be sure to assess the fetus as well as the contractions and maternal electrolytes in the mother. It may cause seizures and coma. Be sure to monitor the blood pressure of the patient while receiving oxytocin and teach the patient that with this drug, there may be some painful contractions guys. Oxytocin does have an antidiuretic effect. So ends and outs need to be monitored closely, especially when the patient is taking in a lot of fluid. There actually have been cases of water intoxication because this antidiuretic effect of oxytocin. That’s it for oxytocin or Pitocin now go out and be your best self today. And as always happy nursing.

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Maternal Fetal Medicine

Concepts Covered:

  • Labor Complications
  • Pregnancy Risks
  • Newborn Care
  • Postpartum Care
  • Postpartum Complications
  • Prenatal Concepts
  • Fetal Development
  • Newborn Complications
  • Labor and Delivery
  • Studying
  • Medication Administration

Study Plan Lessons

Abruptio Placenta for Certified Emergency Nursing (CEN)
Abruptio Placentae (Placental abruption)
Anemia in Pregnancy
Antepartum Testing
Babies by Term
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Breastfeeding
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Certified Nurse Midwife
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Discomforts of Pregnancy
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Ectopic Pregnancy
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Emergent Delivery (OB) (30 min)
Emergent Delivery for Certified Emergency Nursing (CEN)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Development
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Gravidity and Parity (G&Ps, GTPAL)
Glucose Tolerance Test (GTT) Lab Values
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Infections in Pregnancy
Incompetent Cervix
Initial Care of the Newborn (APGAR)
Labor Progression Case Study (45 min)
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Menstrual Cycle
Newborn of HIV+ Mother
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Process of Labor
Oxytocin (Pitocin) Nursing Considerations
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Postpartum Discomforts
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Thrombophlebitis
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Prostaglandins in Pregnancy
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)