Protocol Status: PUBLISHED
Protocol:
Version: 2026.01
Effective Date:
Last Reviewed:
Medical Director Approval:
Clinical Note: This content reflects current GCEMS clinical guidelines as of the dates listed above. If content appears inconsistent with current policy, use the most recent approved guideline and notify leadership for correction.

Oxytocin

(Pitocin)

 

INDICATIONS:

 

  • Postpartum hemorrhage

 

DOSAGE:

 

ADULT:

 

  • 20 units in 1000 ml of Normal Saline; slow IV infusion titrated according to severity of bleeding & uterine response, in postpartum females only

 

PEDIATRIC:

 

  • NOT APPROVED

 

CONTRAINDICATIONS:

 

  • Presence of a second fetus
  • Previous cesarean section

 

SIDE EFFECTS:

 

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

 

  • Given only after baby and placenta are delivered
  • Overdose can cause uterine rupture
  • Vital signs and uterine tone should be monitored constantly
  • Do not give to patients taking vasopressors