What's the max dose Pitocin is allowed at your hospital?
Register Today!- by violet_violet Dec 11, '12Please include the state you're from.
CA - max dose 20 mU/min
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http://allnurses.com/showthread.php?t=801895©2013 allnurses.com INC. All Rights Reserved. - Dec 11, '12 by FyreflieAlberta (my hospital at least!) 20 mu/min with occasional higher doses at the OBs discretion.
- Dec 11, '12 by Kayla.J.RNI'm from NJ, at my hospital the max dose is 30 mu/min.... it's very rare that we ever reach that number though. In my experience so far I have never reached 30, but that's the max dose per our hospital policy.
- Dec 11, '12 by nocturnalnurseour policy's max is 20mu/min, and rarely at physicians discretion can we go above that. happens maybe once a year. Honestly, we rarely have to go above 12 and with good bishops scores, rarely above 8.
gone are the days of "pit em til they puke", thank God for that! -
- Dec 13, '12 by Sherrie49Utah- the limit at our hospital is 20 mu, with the OB able to order doses over that amount if desired. As others have stated, this is pretty rare, though.
- Dec 14, '12 by violet_violetInteresting, I've maxed at 20 mU/min and have had to turn off pit and restart at a later time.
- Dec 15, '12 by sunshineLDRNMax @ 42mU/min @ my facility and we occasionally do hit this max. But then again we have a lot of primip pretermers with severe PreE on Mag so labor is usually extremely slow going. (less pit receptors)
TX - Dec 16, '12 by FyreflieQuote from sunshineLDRNThat's strange! I've always noticed to my true pre-e pts tended to have really quick labours no matter what their gestation or parity. Sometimes just a prostin or cervidil is enough to get them delivered!Max @ 42mU/min @ my facility and we occasionally do hit this max. But then again we have a lot of primip pretermers with severe PreE on Mag so labor is usually extremely slow going. (less pit receptors)
TX - Dec 16, '12 by sunshineLDRNThat 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.