Oxytocin
-used to induce labor or augment a labor that is progressing slowly due to ineffective
uterine conrtractions
-acts on receptors in the myometrium to create an increase in the strength, duration, and
frequency of the contractions. These same receptors are susceptible to uterine
hyperstimulation, which constitutes a major risk associated with the medication.
Nursing responsibility:
-explain and assess the patient’s level of understanding
-assist the woman to a side-lying or upright position
-assess patient and fetus and document findings
-The solution is prepared and administered with a pump delivery system according to the
prescribed orders.
——The piggyback solution is connected to the intravenous infusion at the port nearest
the point of venous insertion.
——The medication is administered as ordered; ongoing assessments are conducted
according to institutional protocol.
-documents the medication (kind, amount, times of beginning infusion, increasing the
dose, maintaining the dose, discontinuing the infusion),
-assess maternal–fetal reactions (FHR and pattern, maternal vital signs, pattern and
progress of labor, nursing interventions, and maternal response)
-notify the primary health care provider on the reaction of the mother and fetus.
-assess fluid input and output (limit intravenous fluid intake to 1000 mL/8 hr; output
should be 120 mL or more every 4 hours)