Pit & Mag PP

[jdop]

Hi!

So at my hospital, we changed our policy on Pitocin after delivery. We are infusing it now at 334 mL/30 mins bolus and then 95 mL/hr for a total of 4 hrs. Evidence says it decreases the risk of PPH.

My question is: if the patient also has Magnesium Sulfate running, would it be appropriate to stop and disconnect the LR after delivery? So the patient ends up with only Pitocin and Mag during post partum. And then the Pitocin gets switched to the main line and the Mag gets moved to the port closest to the patient.

Thanks!

[maberRN, BSN]

We do the same bonus after delivery at my large 6,500-6,700 delivery a year hospital. However, we run the PP Pitocin at 40 ml/ hr x4 hrs. Our main IV line of NS is KVO’d  to avoid fluid overload, with or without Magnesium running.