Recognize It
Severe Range Blood Pressure
What is >160/110?
Used for seizure prevention.
What is Magnesium Sulfate?
Concerning platelet count in HELLP.
What is <100,000?
Scenario: Your patient has a blood pressure of 170/112.
What is initiating treatment for hypertension per protocols and notifying provider?
Magnesium Assessment. (3 answers)
What is a respiratory rate, DTRs, and urine output?
Hypertension after 20 weeks gestation with signs of maternal organ dysfunction?
What is Pre-Eclampsia?
First line OB HTN medication.
What is Immediate Release Procardia 10mg?
Liver Enzymes.
What are AST and ALT?
Appropriate position for patient with Pre-E.
Bonus: Why?
What is side-lying, left lateral?
To promote venous return and uteroplacental perfusion.
Antidote for Magnesium toxicity.
What is Calcium Gluconate?
Pre-Eclampsia with seizure.
What is Eclampsia?
Beta-Blocker/Alpha-1 Blocker to lower BP.
What is Labetalol?
Reason to Monitor urine output.
What is renal impairment?
Have readily available: O2, Suction, Emergency/resuscitation equipment, IV access, calcium gluconate when magnesium is being administered.
Magnesium Bolus.
What is 4 grams?
Warning signs of worsening Pre-E.
What is Headache, RUQ pain, SOB, visual disturbances, and/or elevated blood pressure with AMS, clonus?
Direct Vasodilator for acute, severe HTN.
What is Hydralazine?
Calculation of total protein in urine.
What is a 24 hour urine?
Monitoring Fluid Status.
Strict I&O, Auscultating lungs for crackles or dyspnea, Monitoring for decreased oxygen saturation.
Scenario: Your patient on MagSulf has a RR of 9 with absent DTR. What is your priority?
Stop the magnesium, support airway, notify provider. Prepare to administer calcium gluconate.
Syndrome characterized by Hemolysis, Elevated Liver Enzymes, and Low Platelets.
What is HELLP?
Oral medication used for rabid treatment when IV access is not available.
What is Immediate release nifedipine?
"PIH workup." (3 labs)
What are CBC, CMP, PCR?
Non-reassuring fetal status.
Scenario: A patient receiving magnesium sulfate has decreased urine output, absent reflexes, and respiratory depression. What do you expect?
What is magnesium sulfate toxicity?