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Oxytocin, known by its trade known Pitocin, is a hormone administered during pregnancy and you can remember it by the image of the octopus-toe. This medication both begins and increases the strength of uterine contractions by stimulating receptors on the uterine muscle wall, shown by the up-arrow uterus flexing. This medication is given in conjunction with cervical ripening medications or after the cervix is ripened to increase and strengthen contractions for labor induction, shown by the labor induction-duck. After separation of the placenta, this medication may be indicated to control postpartum hemorrhage, shown by the post-baby with hemorrhage-hammer, as it causes contraction of the uterine wall thus decreasing blood flow to tissues. Risk of uterine rupture, shown by the uterus rupturing, is a possible side effect due to the strength of the muscle contractions this medication causes. Women with multiparity greater than 5 or any previous uterine scarring are at higher risk due to weakened uterine walls. Another possible side effect is water intoxication, depicted as the water with toxic-barrels pouring in. This occurs due to the antidiuretic effects this medication has on the body, which prevents the formation of urine. It is important to monitor urine output while administering this medication continuously. Fetal lung immaturity, shown by the fetus missing lungs, is one contraindication for giving oxytocin, as is pregnant women who have a cervix that is not ripened, shown by the unripened cervix fruit. Giving this medication and inducing contractions before cervical ripening may cause fetal or maternal injuries. Patients with an active genital herpes infection, the herpes-harp with active genital infection should also never be administered this medication. It is important to note that the lowest dose&nbsp;of this medication should be given to minimize side effects, shown by using the smallest needle available with the lowest dose. And because this medication is destroyed by the GI system, it must be given IV or IM route. It has a relatively short half life that when coupled with the potency, requires the use of an IV pump, shown by the IV pump. So to review, oxytocin or pitocin is a medication given that works to increase uterine contractions. Indications include labor induction and to control postpartum hemorrhage. Side effects include uterine rupture and water intoxication. Contraindications include fetal lung immaturity, cervix not ripened, and active genital herpes. This medication should be given in the lowest possible dose due to the increased risk of side effects and via IV pump.

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story

Octopus toe.png

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Octopus-toe

Oxytocin (Pitocin)

Oxytocin and prolactin

Arginine Vasopressin (AVP) Differential Diagnoses

Mechanism of Action

Up arrow Uterus Flexing.png

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Up-arrow Uterus Flexing

Increase Uterine Contractions

What mechanism of action or pharmacological action is best associated with Oxytocin (Pitocin)?

Indications

Labor Induction duck.png

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Labor Induction-duck

Labor Induction

Which of the following is most likely an indication for the use of Oxytocin (Pitocin)?

Post baby with Hemorrhage hammer.png

Post-baby with Hemorrhage-hammer

Control Postpartum Hemorrhage

Side Effects

Uterus Rupturing.png

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Uterus Rupturing

Uterine Rupture

During your assessment of a patient taking Oxytocin (Pitocin) which of the following side effects is most likely to be seen?

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Water with Toxic-barrels

Water Intoxication

Contraindications

Fetus Missing Lungs.png

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Fetus Missing Lungs

Fetal Lung Immaturity

Oxytocin (Pitocin) should most likely be avoided in which of the following&nbsp;cases?

Unripened Cervix fruit.png

Unripened Cervix fruit

Cervix Not Ripened

Oxytocin (Pitocin) should most likely be avoided in which of the following cases?

Herpes harp with Active Genital infection.png

Herpes-harp with Active Genital infection

Active Genital Herpes Infection

Oxytocin (Pitocin) should most likely be avoided in&nbsp; which of the following special cases?

Considerations

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Using Smallest Needle

Use Lowest Dose

Which of the following are most important considerations when administering Oxytocin (Pitocin)?

IV Pump.png

IV Pump

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The octopus-toe is a giant monster from the sea, and it terrorizes the inhabitants of nearby islands. &nbsp;Whenever it attacks, the uterus flexes to fight it off, and the induction-duck launches newborns like missiles from women in labor. &nbsp;The post-babies of the island try to help with hemorrage-hammers, but they get owned by the octopus-toe. &nbsp;After a fierce battle, the uterus finally ruptures and loses, to be dragged into the toxic water which created such a massive creature as the octopus-toe. &nbsp;On the other island, where the fetus isn't even mature enough to scream as it hasn't developed lungs yet, the octopus-toe checks up on the&nbsp;unripened cervical fruit of island to gauge how much longer they should take, as it's appetite is endless. &nbsp;That's when a siren of the sea, the herpes-harp with an active genital infection, comes to ward off the beast. &nbsp;She chooses the smallest dose in her arsenal, just enough to get things started, and powers her vessel forward with an IV pump, stabbing the tentacle and thwarting the octopus-toe, for the time being.

This medication should not be given to a patient with active genital herpes.

This medication may reduce postpartum hemorrhage.

Uterine rupture may occur while taking this medication.

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Picmonic NCLEX Question of the Day 03/2021/22

Picmonic NCLEX® Question of the Day

A 30-year-old woman walked into the hospital and told the nurse, "My water broke, but I haven't had any contractions yet." She was admitted and placed on an oxytocin infusion. Which of the following should the nurse consider regarding the medication? Select all that apply:

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