Exam 5 - Lec 61 Oxytocin Flashcards
which stage of labor refers to onset of labor to full cervical dilation?
stage 1
which stage of labor refers to time from full dilation to delivery?
stage 2
which stage of labor refers to time from delivery to infant to delivery of the placenta?
stage 3
two options for labor dystocia (abnormally slow or protracted labor)
-operation (C-section)
-IV oxytocin (Pitocin)
oxytocin role in stages 2 and 3 of labor
stimulate contractions before onset of labor to achieve a vaginal delivery
contraindications for labor induction (6)
-placenta previa
-fetus in sideway position
-previous classical or high-risk C-section
-prior uterine incision (e.g. myomectomy)
-umbilical cord prolapse
-prior uterine rupture
IV oxytocin max dose
40 milliunits/min
half-life of IV oxytocin
~3 min when infused
oxytocin for medical termination is typically used during ___ trimester
2nd
oxytocin for medical termination: dose
50 units/500 mL NS over 3 hrs + 1 hr rest; repeat, adding additional 50 units per cycle
what is the ISMP?
institute for safe medication practices
WHO recommends continued breastfeeding through ___ months or longer
24
AAP recommends continued breastfeeding through ___ months, or as long as mutually desired
12
what are the 4 ranges for RID (relative infant doses)?
< 2% = minimal transfer to milk
2-5% = small amount of transfer to milk
5-10% = moderate amount of transfer to milk
> 10% = large amount of transfer to milk; risk of effects in infants exists
Hale’s lactation risk categories: what do each of them mean?
L1: safest
L2: safer
L3: moderately safe
L4: possibly hazardous
L5: contraindicated