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

  1. Please include the state you're from.


    CA - max dose 20 mU/min
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  3. by   Fyreflie
    Alberta (my hospital at least!) 20 mu/min with occasional higher doses at the OBs discretion.
  4. by   Kayla.J.RN
    I'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.
  5. by   nocturnalnurse
    our 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!
  6. by   itsnowornever
    Ca also- 20mu/min here is the max. Never gone above 15
  7. by   Sherrie49
    Utah- 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.
  8. by   violet_violet
    Interesting, I've maxed at 20 mU/min and have had to turn off pit and restart at a later time.
  9. by   sunshineLDRN
    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
  10. by   Fyreflie
    Quote from sunshineLDRN
    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
    That'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!
  11. by   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.
  12. by   Fyreflie
    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.
  13. by   sunshineLDRN
    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.
  14. by   RNLaborNurse4U
    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.

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