Pitocin (Oxytocin)

Question 1

Class (2)

Answer 1

• Hormone

- Uterine stimulant

Question 2

Action

Answer 2

Induces uterine smooth muscle contraction

Question 3

Indication (2)

Answer 3

• 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

Question 4

Dosage/route

Answer 4

10-20 units in 1 L NS to run in over 15 minutes or 3-10 units IM, after delivery of the placenta

Question 5

Standard prep

Answer 5

10 units per ml

Question 6

Contraindication

Answer 6

Should not be use prior to the delivery of the fetus and the placenta in the prehospital setting

Question 7

Side Effects (4)

Answer 7

• Uterine rupture from excessive administration
• HTN
• Arrhythmias
• Anaphylaxis

Question 8

Precaution

Answer 8

• Should be used in conjunction with correct fundal massage

- VS, firmness of uterus, and vaginal bleeding should be monitored