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Medication Medication

Medication - PowerPoint Presentation

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Uploaded On 2017-07-18

Medication - PPT Presentation

DoseRoute Rate Considerations Oxytocin 30 units in 500 mL IV or 10 units IM 125999 mL hr Titrate to uterine tone Potential fluid overload at total dose gt 80 units Do NOT administer IV push ID: 571060

units mcg fluid doses mcg units doses fluid hypertension contraindication uterine mins 800 rectally dose

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Presentation Transcript

Slide1

Medication

Dose/Route

Rate

Considerations

Oxytocin

30 units in 500 mL IV or

10 units IM

125-999 mL/

hr

Titrate to uterine tone

Potential fluid overload at total dose > 80 units.

Do NOT administer IV push.

Methergine

0.2 mg (200 mcg) IM

Every 2-4 hours.

Up to 5 doses.

Hypertension is contraindication.

Do not give IV due to sudden hypertension & CVA.

Hemabate

0.25 mg (250 mcg) IM or

intramyometrial

Every 15-90

mins

.

Up to 8 doses.

Asthma is relative contraindication.

Misoprostal

800 mcg rectally

or

400-600 mcg orally

No evidence to support giving more than 800 mcg rectally.

Works most effectively when used with other medications.

Calcium gluconate

1 ampule IVP

or

2 ampules in 1 L IV fluid

Over 5

mins

. Run wide open. Can safely repeat but benefit questionable.

Assists with uterine contractility