Increasing, decreasing &stopping
When you have indeterminate or abnormal FHR patterns occur.
What is decrease the dosage rate or discontinue oxytocin?
Monitor fetal heart rate and uterine contractions for at least 20 minutes
What is prior to Augmenting and inducing labor
Postpartum hemorrhage
What is a severe risk that comes with using Pitocin for longer than 12 hrs.
More than 5 contractions per min in 2 consecutive intervals.
What is uterine Tachysystole?
Notify the provider when
What is tachysytole, abnormal FHR patterns or suspected uterine rupture.
No two contractions greater than 120 seconds in duration or no more than 5 contractions in 10 minutes for any 20 minute interval in the segment
What is the criteria for continuing Oxytocin
Permanent birth injuries such as brain damage and cerebral palsy.
What is Fetal distress
Causes uterine contractions
What is Oxytocin action?
MVU's greater than 300
What is decreasing Oxytocin
At least one accel of 15 BPM x 15 seconds in 30 minutes or moderate variability for 10 of the previous 30 mins
What is the criteria for continuing Oxytocin
Excessive contractions caused by Pitocin or induction can put stress on the baby, leading to signs of...
Fetal distress
Give fluid bolus, Notify provider, request Terbutaline
What is the intervention when a woman has more than 5 contractions in a 10 minute period and no Pitocin running.
Standard interval for increasing or decreasing pitocin.
What is every 30 minutes
Two RN's verify the pump is programmed correctly, verify patient information and correct dose before starting initial Pitocin infusion.
What is a dual checkoff
A risk of oxytocin use causing a tear in the uterus.
What is Uterine rupture
Full term pregnancy with a desire to induce or stimulate uterine contractions
When is Pitocin indicated?
Max dose of Pitocin that can be infused
what is 40milliunits
Nursing actions to take with evidence of tachysytole unresponsive to position change and fluid bolus.
When would you decrease by half
A possible side effect of Pitocin on mother
What is fluid overload?
Initiating oxytocin per protocol after the start of labor.
What is oxytocin augmentation