Hi all. I've been running across different information in all my review books and it's very frustrating. If continuous late decels are noted (placental insuff) what order would you put the following in? 1. LLR position2. O2 @ 8-10 LPM3. Increase IV Fluid4. Pit off5. Call MDMany books say turn pitocin off first while others are saying LLR position 1st because least invasive. I take my nclex Wednesday and I'm being paranoid over these order questions because I'm seeing different responses thank you in advance!!!
OliverElio87, BSN, RN 298 Posts Mar 25, 2017 1. Pit off2. Left side position3. 024. Increase IV Fluids5. MD/DOMost of the time, it will not be to call the physician. Turning off the pitocin is not invasive (one can argue that's the least invasive), for me why would you want the mother to continue getting pit that will continue increase contractions.
Ilikeletters 60 Posts Mar 25, 2017 Agree with above poster1. Pit off2. Left side position3. 024. Increase IV Fluids5. MD/DO
NICUismylife, ADN, BSN, RN 563 Posts Specializes in NICU, RNC. Mar 25, 2017 Agreed. Often late decels are a direct result of the pit. Turning it off is the #1 priority. In reality, you'd have the pt turn to llp while you're turning off the pit, which is why I hate a lot of these priority questions that assume that you can only do 1 thing at a time.
