What's the max dose Pitocin is allowed at your hospital? - page 2

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  1. Dec 16, '12 by
    Quote from sunshineLDRN
    That interesting. Do you guys use Mag Sulfate for seizure prophylaxis? We do so maybe that's the diff. Mag Sulfate being a tocolytic can prolong their labor. We also don't use Cervidil or Prostin ( Only vaginally for induction of a fetal demise). Our first go to is usually 100mcg Misoprostil orally if they meet the criteria by our protocol (max of 2 doses). Probably not as effective as vaginal cervidil.
    We do use mag but only if its severe--they usually induce before it gets that bad. We don't use misoprostol for live induction at all in Canada! Strange how different things are.
  2. Dec 16, '12 by
    Quote from Fyreflie
    We do use mag but only if its severe--they usually induce before it gets that bad. We don't use misoprostol for live induction at all in Canada! Strange how different things are.
    Yeah how different, huh? I hope to do some travel nursing soon to see how things are done differently in other places. Also, though being a county hospital, we get a lot of pts who have had no prenatal care and come in only when they they are symptomatic, so catching pre-e before it gets severe is often difficult with our pt population. I would love to travel nurse in Canada. I have heard so many good things about the health system over there.
  3. Dec 18, '12 by
    20 mu/min. If you hit 20, and the doc wants to go higher, they have to write a progress note and an order to go higher. I have gone as high as 36 mu/min. Don't ask. I wasn't happy about it.
  4. Dec 18, '12 by
    At the last hospital I worked at, policy was 20mu/min was the highest we could go unless we had a physician's order overriding this. We had several doctors who routinely asked us to go up to 30 mu/min. To go over the 20mu/min limit, we also needed to have an IUPC so we could assess and document adequacy of labor. (RN could place IUPC if certified)

    Southeastern US
  5. Dec 18, '12 by
    DE hospital 40. PA hospital - 20 but MD can write for more..
  6. Jan 6 by
    20mu/min is our max too but as with many of you, our docs can write an order to go over. I, personally, haven't had to exceed 20 though.
  7. Jan 7 by
    3x3 every 30, max of 42. I've maxed out more than once
  8. Jan 7 by
    2x2 q20 max is 30--Scott&White TX

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