Page 877 - Saunders Comprehensive Review For NCLEX-RN

Prostaglandin E : Misoprostol intravaginal tablet
1
Prostaglandin E : Dinoprostone vaginal gel, insert, or suppository
2

Box 28-2

Contraindications to the Use of Prostaglandins

▪ Active cardiac, hepatic, pulmonary, or kidney disease
▪ Acute pelvic inflammatory disease
▪ Clients in whom vaginal delivery is not indicated
▪ Fetal malpresentation
▪ History of cesarean section or major uterine surgery
▪ History of difficult labor or traumatic labor
▪ Hypersensitivity to prostaglandins
▪ Maternal fever or infection
▪ Nonreassuring fetal heart rate pattern
▪ Placenta previa or unexplained vaginal bleeding
▪ Regular progressive uterine contractions
▪ Significant cephalopelvic disproportion

Box 28-3

Calculating an Oxytocin Dose

Prescription: Oxytocin 2 milliunits (mU)/minute
Available: 20 units (U) in 1000 mL 5% dextrose in Water (D5W)

How many mL per hour?
Steps for calculating:

1. Do you need to convert? Yes, you need to change mU to U
2. What has been prescribed? Oxytocin 2 mU/minute
3. What do you have available? 1000 mL D5W containing 20 U oxytocin
4. Set up formula:

Convert:

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