Which of the following is your nursing responsibility before administration of oxytocin?
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The nurse's role during oxytocin administrationS Clayworth. MCN Am J Matern Child Nurs. 2000 Mar-Apr. AbstractThis article addresses the importance of the nursing role in the management of oxytocin during induction/augmentation of labor. It is nurses at the bedside of laboring women who make oxytocin titration decisions based on their nursing assessments. Those decisions must be based on a sound knowledge of the pharmacologic properties of oxytocin, the physiology of uterine contractions, and the response of the woman and fetus to contractions. In addition, nurses must be aware of the standards and guidelines of care that govern their actions during induction/augmentation. Similar articles
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INTRODUCTION
oxytocin (ox-i-toe-sin) Pitocin, Syntocinon Classification Therapeutic: hormones Pharmacologic: oxytocics IndicationsIV: Induction of labor at term. Facilitation of uterine contractions at term. Facilitation of threatened abortion. Postpartum control of bleeding after expulsion of the placenta. Intranasal: Used to promote milk letdown in lactating women. Unlabeled Use: Evaluation of fetal competence (fetal stress test). ActionStimulates uterine smooth muscle, producing uterine contractions similar to those in spontaneous labor. Stimulates mammary gland smooth muscle, facilitating lactation. Has vasopressor and antidiuretic effects. Therapeutic Effects: Induction of labor (IV). Milk letdown (intranasal). Adverse Reactions/Side EffectsMaternal adverse reactions are noted for IV use only CNS: maternal: COMA, SEIZURES fetal: INTRACRANIAL HEMORRHAGE. Resp: fetal: ASPHYXIA, hypoxia. CV: maternal: hypotension; fetal: arrhythmias. F and E: maternal: hypochloremia, hyponatremia, water intoxication. Misc: maternal: increased uterine motility, painful contractions, abruptio placentae, decreased uterine blood flow, hypersensitivity. PHYSICAL THERAPY IMPLICATIONSExamination and Evaluation
Interventions
Patient/Client-Related Instruction
PharmacokineticsAbsorption: Well absorbed from the nasal mucosa. Distribution: Widely distributed in extracellular fluid. Small amounts reach fetal circulation. Metabolism and Excretion: Rapidly metabolized by liver and kidneys. Half-life: 3–9 min. | Download (.pdf) | Print TIME/ACTION PROFILE (IV = uterine contractions; intranasal = milk letdown)
Contraindications/Precautions... What are your nursing responsibilities before giving oxytocin?Now, nurses are responsible for safely administering oxytocin during labor, avoiding excessive stimulation to the uterus or harm to the fetus. So, before starting the infusion, be sure to review the client's medical record to be sure there are no contraindications to administration.
What should you check before administering oxytocin?Assess cervical status prior to the administration of oxytocin, noting— ... . Assess blood pressure, pulse, respiratory rate every hour.. Assess intake and output every 4 hours.. What should you monitor after administering oxytocin?It is essential to monitor patient fluids (both intake and outtake) while administering oxytocin and the frequency of uterine contractions, patient blood pressure, and heart rate of the unborn fetus.
What nursing interventions should you perform prior to starting induction of labor?Monitor fetal heart tones immediately before, during, and after the procedure. Observe and record color, amount, and odor of amniotic fluid; time of procedure; cervical status; and materbal temperature. Take and record the client's temperature every 2 hours to assess for infection. Monitor for the onset of labor.
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