It's me again. Any policies and or procedures for administration of oral or buccal cytotec anyone is willing to share? New physician from another state wants to use cytotec and it is up to me to help formulate a policy and procedure. Any help greatly appreciated. E-mail to Caseyrnbsn@aol.com
My nurse manager wants to see examples from other institutions before we implement our own.
Apr 4, '03
I work two places and the two deliver cytotec differently. In one, we give 25 mcg orally every 3 hours or until good labor is established. In the other, 25 mcg is placed vaginally, in the cervical fornix, also every 3 hours til good labor established. Unlike Mark, I don't see one route being more effective than the other. Usually, I see it either working NOT AT ALL or TOO WELL. Does not matter the route, it reacts in the same unpredictable way either way. We have never used buccal cytotec in any place I have worked and I don't think I would want to.
I watch patients like a hawk in both cases as I have seen HYPERSTIMULATION several times. It makes me nervous because of two things: unlike pitocin, cervidil or prostin gel, it is NOT marketed for obstetric use ( and Searle has put out a strong statement saying as much), and you can't "turn it off" once you give it. It deserves your UNDIVIDED attention and careful monitoring when in use.
Last edit by SmilingBluEyes on Apr 4, '03