Question

1.) Oxytocin is the 1st line uterotonic medication used to prevent and treat PP hemorrhage. What are the 2 routes used to administer oxytocin?

2.) Oxytocini is a HI-RISK medication! Name 3 ways to safeguard errors.

3.) What is active management of the third stage of labor?

4.) Name other uterotonics that may be used in PP hemorrhage. Give their route, dosage and nursing considerations.

Answer 1

oxytocin - also known as "cuddle hormone" or the "love hormone," and it releases from the pituitary gland (posterior lobe) and responsible for.social bonding, reproduction, facilitating labour/child birth.

so as per your question ...

1. ..the 2 routes used to administer oxytocin.. = a. intravenous infusion of a diluted solution via infusion pump (typically 10 mIU/mL),..

b. intramuscular route - a dose of 10 IU/minute often is given immediately after delivery for maintaining the tone and uterine contractions.

2....3 ways to safeguard errors ....===when any high-alert medications is used we must follow the principles of safe care: so in a case of oxytocin main agenda is "more time than more oxytocin".

a. processes to prevent errors and harm •i.e ...making a proper protocol of a process that should be followed as such., providing standart treatment of oxytocin induced complications as uterine tachysystole.

b. methods to identify error and harm when they occur i.e. Careful and timely assessment of fetal heart ratr and uterine tone, if possible limit the number of same time labor induction by maintaining register

c.methods to mitigate the harm that may result from the error i.e. make a protocol that allow to alter the drug dose without physician information in emergency, follow the rescue protocol in emergency.

3. active management of the third stage of labor..(AMTSL).. = BASICALLY IT IS HAVING 3 COMPONANTS....

A. administer uterotonic drug with in 1 min of labor.

B. CCT i.e controlled cord traction (of placenta)

C. Massage the uterus immediately after delivery of the placenta and membranes until it is firm.

4. other uterotonics that may be used in PP hemorrhage.... =

A. Misoprostol = 600 mcg TO 1000 mcg = perrectal = can cause Nausea, vomiting, Diarrhea, Shivering and hypersestivity reaction.

B. Methylergonovine = 0.2 mg IM (NOT IV) = BP altreation, Nausea, vomiting, it has to Refrigerate and Protect from light.

C. Carboprost = 0.25 mg = IM (Do not give IV) = Nausea, vomiting, Diarrhea, Fever, Headache, Bronchoconstriction. =kept in refrigerater.