Oxytocin / Pitocin

 

INDICATIONS:

  • Postpartum hemorrhage

 

ADMINISTRATION:

  • IV infusion

 

DOSAGE:

ADULT:

  • 20 units in 1000 ml of NS/RL; slow administration titrated according to severity of bleeding & uterine response, in postpartum females only

 

PEDIATRIC:

  • NOT APPROVED (UNLESS PATIENT IS POST PARTUM)

 

THERAPEUTIC EFFECTS:

  • Stimulates uterine smooth muscle to contract
  • Uterine vasoconstriction

 

RELATIVE CONTRAINDICATIONS:

  • Presence of a second fetus
  • Previous cesarean section

 

SIDE EFFECTS:

  • Uterine rupture, Anaphylaxis, Dysrhythmias,
  • Nausea/Vomiting, Hypertension

 

SPECIAL NOTES / RESTRICTIONS:

  • For use ONLY in FEMALE patients.
  • Given only after baby & placenta are delivered
  • Overdose can cause uterine rupture
  • Vital signs & uterine tone should be monitored constantly
  • Do not give to patients taking vasopressors