Guest guest Posted September 3, 1999 Report Share Posted September 3, 1999 ~ I don't know how it is other than So. California but we turn the pt to the side (start with left then right if no better) instead of trendelenberg. (the rest is the same). We run 20 u. Pit in the IV after the delivery of the placenta and if the mom starts to bleed heavily we give of 0.2mg Methergine IM. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 1999 Report Share Posted September 3, 1999 I think probably you'll find most places practice slightly different.....we pushed pitocin IV several years ago....like in the 70's but not now think they decided it could cause hypotension, cardiac arrhythmias....our usual first line with hemorrhage is Methergine IM...then Hemobate. We also do not place in trendelenberg unless we suspect a cord. Just know that most places do practice slightly different. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 1999 Report Share Posted September 3, 1999 I work in Northern CA and our unit is the same as s: turn to left OR right side, no trendelenburg. << We run 20 u. Pit in the IV after the delivery of the placenta and if the mom starts to bleed heavily we give of 0.2mg Methergine IM. >> Kendel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 1999 Report Share Posted September 5, 1999 No storm here in Southern CA, although that's usually what seems to bring them in with ruptured membranes. Sylvia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 1999 Report Share Posted September 5, 1999 Hi, I am an OB nurse. In our hospital we rotate between labor, post partum, and nursery. I love L & D. I am thinking of looking into becoming a midwife. I have my BSN and I am located in South Central NY. Anyone have any info on classes available not too far from me? 2 hours drive is not bad to me. So that would include Syracuse and Rochester area. Thanks for any help anyone can give me. Thanks, Pat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 1999 Report Share Posted September 5, 1999 RE: [OBnurses] i've got a questionUniversity of Rochester (a fantastic school, BTW) offers a MSN in nurse-midwifery. Check it out. Let me know what you think. Gay Marie I haven't lost my mind, it's backed up on a disc somewhere... RE: [OBnurses] i've got a question Hi, I am an OB nurse. In our hospital we rotate between labor, post partum, and nursery. I love L & D. I am thinking of looking into becoming a midwife. I have my BSN and I am located in South Central NY. Anyone have any info on classes available not too far from me? 2 hours drive is not bad to me. So that would include Syracuse and Rochester area. Thanks for any help anyone can give me. Thanks, Pat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 1999 Report Share Posted September 5, 1999 Pat, I work at Cortland memorial. There are two girls in our hospital who are doing their clinicals in midwifery and taking their classes in Syracuse (actually, one just passed her boards and her comps this summer). I'll get you some info. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 1999 Report Share Posted September 6, 1999 THANK YOU SO MUCH Re: [OBnurses] i've got a question From: Goggie23@... Pat, I work at Cortland memorial. There are two girls in our hospital who are doing their clinicals in midwifery and taking their classes in Syracuse (actually, one just passed her boards and her comps this summer). I'll get you some info. --------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 1999 Report Share Posted September 7, 1999 , a belated thanks for the acronym. I'm starting L & D tomorrow after being in transplant for the past year, and I've been memorizing your tip already. Hope it helps. Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 1999 Report Share Posted September 8, 1999 Thankyou all for responding. just got back from a short vacation...but wanted to respond to some of the notes i got....actually i did mean ivp into a main line of 1000cc lr with another 20mu of pit in it...i'm guessing this isn't standard practice anywhere else? julie Re: [OBnurses] i've got a question > > >I couldn't tell from your post if the pit was IV push, or in IVF. > > My impression is that you meant in IVF > >Gay Marie >I haven't lost my mind, it's backed up on a disc somewhere... > > > > > Re: [OBnurses] i've got a question > > >> >> >> Where I work (So. CA) we turn the pt to the side and when all else fails >> we may still try trendelenberg. We too run 20 units of pit IV after the >> placenta and give methergine if the mom still bleeds heavily. >> Sylvia >> >> >> --------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 1999 Report Share Posted September 8, 1999 I thought it was contraindicated to give pit direct IV push. I have always understood that it needed to mixed in IVF and administered. It can be given as a bolus then. It is not the practice at my hospital to give it without mixing in IVF. I'm glad you don't do this at your new hospital. As far as trendelenburg, I think LLP or RLP works very well. We don't do many epidurals, but, I would never put a patient that had an epidural in trendelenburg because it would cause the meds to drift higher causing a high spinal type effect, and risk respiratory depression or failure. I have put pts without epidurals in trendelenburg if having severe hypotension, possibly due to hemorrhage postpartum. Epidurals tend to cause decels in the fetus due to hypotension in mom, usually it is just transient. At least you hope so when it occurs Gay Marie I haven't lost my mind, it's backed up on a disc somewhere... Re: [OBnurses] i've got a question > > > > > >> > >> > >> Where I work (So. CA) we turn the pt to the side and when all else fails > >> we may still try trendelenberg. We too run 20 units of pit IV after the > >> placenta and give methergine if the mom still bleeds heavily. > >> Sylvia > >> > >> > >> --------------------------- ONElist Sponsor ---------------------------- > >> > >> ONElist: your connection to online communities. > >> > >> ------------------------------------------------------------------------ > >> Welcome to the OBnurses List at www.onelist.com > >> > > > > > >--------------------------- Quote Link to comment Share on other sites More sharing options...
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