Questions and Answers
Which of the following are oxytocic drugs? (Select all that apply)
What actions does oxytocin have? (Select all that apply)
For which conditions could oxytocin (Pitocin) be administered? (Select all that apply)
Which drug is most likely to be administered to prevent hemorrhage caused by uterine atony? (Select all that apply)
Signup and view all the answers
What are the reasons for administering oxytocin (Pitocin) intramuscularly during the third stage of labor? (Select all that apply)
Signup and view all the answers
What should a nurse monitor a client for when administering oxytocin (Pitocin)? (Select all that apply)
Signup and view all the answers
After administering methylergonovine (Methergine), the nurse should be alert for which of the following? (Select all that apply)
Signup and view all the answers
Methylergonovine (Methergine) should not be administered to which client to avoid excessive vasoconstriction? (Select all that apply)
Signup and view all the answers
Before beginning an IV infusion of oxytocin (Pitocin) to induce labor, which obstetric history items should the nurse obtain? (Select all that apply)
Signup and view all the answers
Study Notes
Oxytocic Drugs
- Oxytocin (Pitocin), methylergonovine (Methergine), and misoprostol (Cytotec) classified as oxytocic drugs.
- Indomethacin is a tocolytic and estradiol is an estrogen, not oxytocic.
Actions and Effects of Oxytocin
- Secreted by the posterior pituitary gland.
- Known for uterine-stimulating properties, antidiuretic, and vasopressor effects.
- Promotes milk ejection during breastfeeding.
Administration Reasons for Oxytocin
- Used for gestational diabetes with large fetus, Rh problems, premature rupture of membranes, uterine inertia, and pregnancy-induced hypertension.
- Administered intravenously when these conditions arise.
Management of Uterine Atony
- Drugs like carboprost (Hemabate), methylergonovine (Methergine), and misoprostol (Cytotec) are effective against hemorrhage from uterine atony.
- Indomethacin and terbutaline serve as tocolytics and are not indicated for this purpose.
Oxytocin in Labor
- Administered intramuscularly during the third stage of labor to produce uterine contractions and control postpartum bleeding and hemorrhage.
Monitoring During Oxytocin Administration
- Watch for adverse reactions including water intoxication, uterine rupture, fetal bradycardia, hypertonicity, nausea, vomiting, cardiac arrhythmias, and anaphylaxis.
- Serious water intoxication may occur with continuous infusion while the patient receives oral fluids.
Adverse Reactions to Methylergonovine
- Potential effects include chest pain, increased blood pressure, diarrhea, nausea, vomiting, dizziness, and headache.
Client Considerations for Methylergonovine
- Avoid administering to heavy smokers or concurrent use with vasopressors due to the risk of excessive vasoconstriction.
Patient History Before Oxytocin IV Infusion
- Important to gather obstetric history: parity, stillbirths, abortions, previous obstetric problems, and type of labor prior to starting an infusion for labor induction.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on uterine drugs with these flashcards. This quiz focuses on identifying oxytocic drugs and understanding their applications. Perfect for nursing students and healthcare professionals interested in reproductive pharmacology.
