NRSG 3100 Unit 2
Uterine stimulants
Oxytocin (Pitocin)
Carboprost (Hemabate)
Misoprostol (Cytotec)
Methylergonovine (Methergine)
Uterine Relaxants
nifedipine (adalt, procardia)
terbutaline (brethine)
magnesium sulfate
indomethacin
Infant medications
beractant (survanta)
Vitamin K
Ovarian stimulant
clomiphene (clomid)
Uterine stimulants uses
-Induce labor
-Treat bleeding in pospartum period
-Expel fetus during abortion
Oxytocin is considered a
Uterine stimulant
-Oxytocic
-Natural hormone (Posterior Pituitary Gland)
Oxytocin MOA
Increases uterine smooth muscle contractions
, Oxytocin Indications
-Induce labor in cases of medically-indicated induction
-Augment spontaneous labor
-Reduce postpartum hemorrhage
Oxytocin Adverse Effects
-Fetal distress
-Uterine rupture
-Water intoxication
Oxytocin contraindications
-Fetal distress
-Placenta previa
-Vaginal birth contraindicated
-Elective labor when mom or baby are not ready
Oxytocin Nursing indications
Dosing varies based on condition (induction vs. hemorrhage)
-VS
-Fetal heart rate
-Maternal contraction pattern
Low dose oxytocin
1-2 mU/L/min increase 1-2 every 30 minutes
High dose oxytocin
4-5 mU/L/min increase by 4-6 every 30 minutes
Carboprost is considered a
Uterine stimulant
-Prostaglandin F2 alpha
Carboprost MOA
Stimulates uterine contractions
Uterine stimulants
Oxytocin (Pitocin)
Carboprost (Hemabate)
Misoprostol (Cytotec)
Methylergonovine (Methergine)
Uterine Relaxants
nifedipine (adalt, procardia)
terbutaline (brethine)
magnesium sulfate
indomethacin
Infant medications
beractant (survanta)
Vitamin K
Ovarian stimulant
clomiphene (clomid)
Uterine stimulants uses
-Induce labor
-Treat bleeding in pospartum period
-Expel fetus during abortion
Oxytocin is considered a
Uterine stimulant
-Oxytocic
-Natural hormone (Posterior Pituitary Gland)
Oxytocin MOA
Increases uterine smooth muscle contractions
, Oxytocin Indications
-Induce labor in cases of medically-indicated induction
-Augment spontaneous labor
-Reduce postpartum hemorrhage
Oxytocin Adverse Effects
-Fetal distress
-Uterine rupture
-Water intoxication
Oxytocin contraindications
-Fetal distress
-Placenta previa
-Vaginal birth contraindicated
-Elective labor when mom or baby are not ready
Oxytocin Nursing indications
Dosing varies based on condition (induction vs. hemorrhage)
-VS
-Fetal heart rate
-Maternal contraction pattern
Low dose oxytocin
1-2 mU/L/min increase 1-2 every 30 minutes
High dose oxytocin
4-5 mU/L/min increase by 4-6 every 30 minutes
Carboprost is considered a
Uterine stimulant
-Prostaglandin F2 alpha
Carboprost MOA
Stimulates uterine contractions
