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
Download Presentation The PPT/PDF document "Medication" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
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