PostPartum C/S and Pitocin

gemininurse71 · Mar 24, 2008

Our standing orders are to run 10 units pit in 1000ml D5LR at 125ml/hr for at least 16 hours after delivery. IV is SL after 24 hours, so that last bag is plain LR (unless there is bleeding issues, obviously).

Elvish, BSN, DNP, RN, NP · Mar 24, 2008

We run D5LR c 20u Pit @ 125/hr x 2 bags. I really think this is overkill, and if bleeding is fine, they are taking PO well, I medlock them. I think we run way too much fluid into these women and am surprised we don't see more pulmonary edema than we do.

NurseNora, BSN, RN · Mar 25, 2008

Orders are individualized for each patient, but most often we run 1000cc LR w/ 20 U Pit at 125cc/hr, then follow with LR @ 125cc/hr. We may saline lock at any time when the patient is taking adequate PO fluids.

mctina_20 · Mar 25, 2008

In the hospital i work at - the OBs have a preordered IV already. 20units oxytocin at 1000ml NS@125ml/hr x 6 hours after surgery. then plain RL after that. Then if there is any variance - then changes are made like cont NS with oxy.

OBNurse529 · Mar 25, 2008

We have pre-mixed bags of 30 units in 500cc NSS that we run for 2-4 hours post-op, unless bleeding is unstable. But we give 'em so much Pitocin in labor, they need methergine/hemabate intraoperatively anyway on top of the Pitocin. :banghead: LOL!

camay1221_RN · Mar 25, 2008

Our c-section patients get 20u of pitocin in a liter of LR that is initiated in the OR, then they are switched to plain LR.

The hospital I used to work for wrote outrageous orders for postop pit. Some of the patients would get up to 70u of pitocin after delivery! Yet the residents didn't understand why their urine output was so low. Duh!

msmcrn5 · Mar 25, 2008

We give D5LR with 10 unit of pit x 3 bags running at 125/hr. I too think it is way too much. If bleeding is normal and they are drinking plenty of fluids I wish they would decrease the amount of IV fluids they give them