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Oxytocin (Pitocin)

CLASS:

  • Uterine stimulant

  • Hormone

ACTION:

  • induces uterine smooth muscle contraction

INDICATION:

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

CONTRAINDICATION:

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

STANDARD PREP: 10 USP units/ml

DOSAGE/ROUTE:

  • 20 units in 1000 cc IV solution to run wide open until bleeding controlled

SIDE EFFECTS:

  • Uterine rupture from excessive administration

  • Tachycardia

  • Hypertension

  • Abdominal Pain

  • N&V

  • Prolonged IV infusion with excessive fluid volume can cause severe water intoxication with seizures, coma, and death.

  • Volume can cause severe water intoxication with seizures, coma, and death.

PRECAUTION:

  • Should be used in conjunction with correct fundal massage

  • Vital signs, firmness of uterus, and vaginal bleeding should be monitored