(SCRIPT KO YANG NAKA RED)
Oxytocin
- is a natural hormone that manages key aspects of the female
and male reproductive systems
- used to begin or improve contractions during labor.
- Oxytocin also is used to reduce bleeding after childbirth.
Administration:
- Intramuscular
- Intravenous
ensuring the safe administration of high alert medications like IV oxytocin is paramount.
Here's how to implement these safety measures effectively:
Administration Guidelines:
1. **Prominent and Clear Labeling**:
- IV oxytocin pre-mixed bags should be labeled prominently and clearly with bright-
colored labeling.
- This helps distinguish them from other IV fluids and reduces the risk of confusion or
administration errors.
2. **Storage Protocol**:
- Store IV oxytocin pre-mixed bags separately from other IV fluids.
- This prevents mix-ups where a bag containing oxytocin could be mistaken for a plain
IV fluid bag, especially in emergency situations like fluid resuscitation boluses.
3. **Infusion Pump Usage**:
- Infuse IV oxytocin via an IV infusion pump rather than gravity drip.
- Using an infusion pump allows for precise control over the rate of oxytocin
administration, reducing the risk of rapid or incorrect dosing.
By implementing these safety measures, healthcare facilities can significantly reduce
the likelihood of errors and ensure the safe administration of IV oxytocin, a high alert
medication commonly used during labor induction and augmentation.
ADMINISTRATION OPTION:
. Administer IV oxytocin by providing a bolus dose followed by a total minimum infusion
time of 4 hours after birth. For women who are at high risk for a postpartum hemorrhage
or who have had cesarean births, continuation beyond 4 hours is recommended. Rate
and duration should be titrated according to uterine tone and bleeding
- Administer IV oxytocin post-birth with a bolus dose followed by a minimum 4-hour
infusion. Extend infusion for high-risk cases or cesarean births.
- Titrate rate and duration based on uterine tone and bleeding.
Option 1
- Oxytocin 20 units in 1 liter normal saline (NS) or lactated Ringer’s (LR) solution
Initial bolus rate 1000 ml/hour bolus for 30 minutes (equals 10 units) followed by
a maintenance rate 125 ml/hour over 3.5 hours (equals remaining 10 units)
Option 2
- Some facilities supply only one standard premixed concentration of IV fluid with
oxytocin used for both intrapartum labor induction and postpartum third stage
management.
Option 3
- Give oxytocin 10 units IM in women without IV access.
Suggested Equipment
- IV infusion pump
- Liters of NS or LR solution Vials of oxytocin and syringes (for IM administration)
- Have other uterotonics on hand such as methylergonovine (Methergine),
misoprostol (Cytotec), and carboprost (Hemabate).
