Why should the nurse monitor the patients fluid intake and output closely during oxytocin administration?
7.4.1 Indications– Induction of labour. Show
7.4.2 Risks of using oxytocin during labour– Maternal risk: uterine rupture, especially in a scarred uterus, but in a unscarred uterus as well, particularly if it is overdistended (multiparity, polyhydramnios, multiple pregnancy) or if there is major foeto-pelvic disproportion. 7.4.3 Contra-indications to the use of oxytocin during labour– Obvious foeto-pelvic disproportion, including malpresentation (brow, transverse, etc.). 7.4.4 Situations requiring special precautions– Prior single low transverse caesarean section. These factors increase the risk of uterine rupture. Oxytocin may be used provided the following precautions are respected: 7.4.5 Conditions for oxytocin use– Given
the risk to both mother and foetus, use of oxytocin during labour requires: In the event of foetal distress, uterine
hyperkinesia (more than 5 contractions in 10 minutes) or uterine hypertony (absence of uterine relaxation): stop the oxytocin. Table 7.2 - Use of oxytocin
Why must the nurse monitor the clients fluid intake and output closely during oxytocin administration?Why must the nurse monitor the patient's fluid intake and output closely during oxytocin administration? Question 18 Explanation: The nurse should monitor fluid intake and output because prolonged oxytoxin infusion may cause severe water intoxication, leading to seizures, coma, and death.
What are the priority nursing assessments during the administration of oxytocin?Assessment
During oxytocin infusion titration, assess fetal heart rate (FHR), contraction pattern, and intensity every 15 minutes. Once an adequate contraction pattern is reached, assess FHR and contraction pattern and intensity every 30 minutes.
What are the nursing responsibilities in administering oxytocin?The nurse must have sound knowledge about the physiology of uterine contractions and the phamacodynamics and pharmacokinetics of oxytocin. In addition, the nurse must be proficient at maternal-fetal assessment, including palpation of contractions and interpretation of electronic fetal heart rate monitor tracings.
What is the correct procedure for administering oxytocin IV?Administer IV oxytocin by providing a bolus dose followed by a total minimum infusion time of 4 hours after birth. For women who are at high risk for a postpartum hemorrhage or who have had cesarean births, continuation beyond 4 hours is recommended.
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