A nurse is caring for a woman who has an order for a high-dose oxytocin (Pitocin) regimen to stimulate uterine contractions. Which of the following actions are appropriate for the nurse to take? (Select all that apply.)
A.
Assess frequently for uterine tachysystole.
B.
Increase the infusion every 30 minutes as needed.
C.
Place to woman prone to prevent dizziness.
D.
Start the infusion at 2 mU/minute.
E.
Use an electronic infusion device.
ANS: A, B, E
Oxytocin must be administered safely. The high-dose regimen begins with 4 mU/minute and is increased by the same amount every 30 minutes as needed. Uterine tachysystole can occur and the nurse must assess carefully for the development of this situation. The woman is placed sitting upright or in a side-lying position. Oxytocin should always be infused via an electronic infusion device.
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