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XXXIV NORTH CAROLINA MEDICAL JOURNAL June, 1957 Clamp No. Murphy drip Clamp No. 3 Figure 1 Bottle A Bottle B rate of flow must be kept at the lowest level which will produce clinically normal labor. 4. Observations The blood pressure, pulse, the frequency, duration, and character of uterine contractions, the rate of flow, and the fetal heart rate should be recorded at 15 minute intervals on a separate sheet of the patient's chart marked "Pitocin Induction." The sheet should be kept at the patient's bedside at all times. 5. Management of intravenous drip If the attendant finds it necessary to 2 leave the patient, the Pitocin-glucose solution in bottle A may be turned off and the intravenous drip maintained by releasing the clamp to bottle B. Any alterations in the rate of flow, untoward reactions, or complications can be handled easily by closing off the Pitocin-glucose solution, but continuing the glucose drip. The attending physician should be notified. 6. Dosage No dosage can be stated since the correct dose depends on the response of the patient. Once normal labor is well established, Pitocin should be discontinued. If the contractions subside, the drug can be resumed. cin introduced into the bottle is recorded on an adhesive strip. The average dose is 0.5 cc. of Pitocin to 500 cc. of glucose. The bottle must be shaken after the Pitocin is introduced. A tunnel clamp is then placed on the tubing leading from each bottle, and a third clamp is placed below the Y tube. The tubing is then filled with the Pitocin solution from bottle A, and this bottle is clamped off. The tubing is completely filled from the second bottle, and the intravenous set is then ready for use. Intravenous drip is begun and the rate established with the flow from bottle B, containing glucose alone. Once the infusion has reached a steady rate of 8 to 12 urops a minute, bottle B is closed and Pitocin-glucose solution is started. The rate of drip is then titrated, increasing by 5-drop increments every 15 minutes until clinically normal labor contractions are obtained. The Conclusion Pitocin serves many indicated and useful functions in the management of obstetric problems. It has replaced many more dangerous obstetric procedures. It is not without inherent and unpredictable dangers, even in the hands of the so-called "expert." The safe use of Pitocin requires a knowledge of certain fundamentals about uterine motility, the pharmacology of the drug, and clinical obstetrics. The Committee on Maternal Welfare feels that the limitations and proper usage of Pitocin should be made known to all physicians. The objective of this article is to present the most generally accepted viewpoints concerning the use of Pitocin, with the hope that each local medical society or hospital staff will assess its own problems and establish the necessary controls over a potentially dangerous drug. c
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1957 |
Identifier | NCHH-17-018 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 18 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-018.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-018 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | keep |
Description
Fixed Title * | Page 234 (image) |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1957 |
Identifier | NCHH-17-018-0278 |
Form General | Periodicals |
Page Type | all; all images; diagram; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncarolinamed181957medi_0278.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 18 |
Issue Number | 6 |
Page Number | 234 |
Health Discipline | Medicine |
Full Text | XXXIV NORTH CAROLINA MEDICAL JOURNAL June, 1957 Clamp No. Murphy drip Clamp No. 3 Figure 1 Bottle A Bottle B rate of flow must be kept at the lowest level which will produce clinically normal labor. 4. Observations The blood pressure, pulse, the frequency, duration, and character of uterine contractions, the rate of flow, and the fetal heart rate should be recorded at 15 minute intervals on a separate sheet of the patient's chart marked "Pitocin Induction." The sheet should be kept at the patient's bedside at all times. 5. Management of intravenous drip If the attendant finds it necessary to 2 leave the patient, the Pitocin-glucose solution in bottle A may be turned off and the intravenous drip maintained by releasing the clamp to bottle B. Any alterations in the rate of flow, untoward reactions, or complications can be handled easily by closing off the Pitocin-glucose solution, but continuing the glucose drip. The attending physician should be notified. 6. Dosage No dosage can be stated since the correct dose depends on the response of the patient. Once normal labor is well established, Pitocin should be discontinued. If the contractions subside, the drug can be resumed. cin introduced into the bottle is recorded on an adhesive strip. The average dose is 0.5 cc. of Pitocin to 500 cc. of glucose. The bottle must be shaken after the Pitocin is introduced. A tunnel clamp is then placed on the tubing leading from each bottle, and a third clamp is placed below the Y tube. The tubing is then filled with the Pitocin solution from bottle A, and this bottle is clamped off. The tubing is completely filled from the second bottle, and the intravenous set is then ready for use. Intravenous drip is begun and the rate established with the flow from bottle B, containing glucose alone. Once the infusion has reached a steady rate of 8 to 12 urops a minute, bottle B is closed and Pitocin-glucose solution is started. The rate of drip is then titrated, increasing by 5-drop increments every 15 minutes until clinically normal labor contractions are obtained. The Conclusion Pitocin serves many indicated and useful functions in the management of obstetric problems. It has replaced many more dangerous obstetric procedures. It is not without inherent and unpredictable dangers, even in the hands of the so-called "expert." The safe use of Pitocin requires a knowledge of certain fundamentals about uterine motility, the pharmacology of the drug, and clinical obstetrics. The Committee on Maternal Welfare feels that the limitations and proper usage of Pitocin should be made known to all physicians. The objective of this article is to present the most generally accepted viewpoints concerning the use of Pitocin, with the hope that each local medical society or hospital staff will assess its own problems and establish the necessary controls over a potentially dangerous drug. c |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-018.pdf |
Document Sort | all; nchh-17 |
Article Title | The Proper Use Of Posterior Pituitary Extract In Pregnancy Part Ii |
Article Author | James F. Donnelly |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-018 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | keep |
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