Medication 7-680 - Oxytocin (Pitocin)

CMH EMS & MIH Protocols

Scope of Practice:

• Registered Nurse
• Paramedic
• Community Paramedic

Route(s):

• IO, IV,

Pharmacodynamics (class and mechanism of action):

• Hormone. (Causes uterine contraction. Causes lactation. Slows postpartum Vaginal Bleeding.)

Pharmacokinetics:

• Half-life: 3-5 minutes.
• Onset time: Immediate.
• Peak action time: Unknown.
• Duration of action: 1 hour.

• Peak	6	12	18	24	30	36	42	48	54	60	66	minutes
  Duration	6	12	18	24	30	36	42	48	54	60	66	minutes

Dosing:

• Refer to specific protocol(s) below for dose(s).

Indications:

• Protocol 2-462 - Gynecologic Emergencies.

Contraindications:

• Any condition other than postpartum bleeding.
• Cesarean section.

Pregnancy Risk Factor:

• No Category
• FDA has not yet classified the drug into a specified pregnancy category.

Potential Incompatibilities:

• None.

Precautions and Adverse Effects:

• It is essential to assure that the placenta has delivered and that there is not another fetus present before administering.
• Overdosage can cause uterine rupture.
• Use caution with Hypertension.
• May prolong QT interval. 12-lead is indicated after administration.
• May cause Anaphylaxis and/or cardiac arrhythmias.

Antidote:

• None.

Controlled Substance Information:

• Not a scheduled drug
• The DEA and FDA have not identified this drug with a schedule classification.
• DEA number: NA.
• Narcotic: No.
• Street names: NA.

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Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.