MAG
While administering magnesium these two assessments must occur every two hours
What is breath sounds and DTRs
The medication used to reverse mag toxicity
What is calcium gluconate
This must be assessed every 15 minutes during a magnesium bolus
HR, BP, RR, O2, and LOC
This lab tube will be collected to analyze coagulation factors
What is a blue top lab tube
This diagnosis is a major risk factor for cardiomyopathy and end stage renal disease
What is preeclampsia
The frequency in which vitals are obtained when a patient is receiving magnesium after the first two hours.
What is hourly.
The time frame in which antihypertensives should be administered following two severe BPs
What is 30-60 minutes
The lowest acceptable urine output amount for one hour
What is 30 mL
This can be drawn PRN for mag toxicity concerns
What is a magnesium level
This condition is characterized by hemolysis, elevated liver enzymes, and low platelet counts.
What is HELLP
The purpose of magnesium sulfate infusion
What is seizure prevention
This medication is the first line treatment of severe range blood pressures
What is procardia or nifedipine
A systolic blood pressure greater than 160 or a diastolic blood pressure greater than 110
What is a severe range blood pressure
These two laboratory results report liver function
What is AST and ALT
Impaired liver, progressive renal insufficiency, and new onset cerebral or visual disturbances are features of
What is pre-e with severe features
This is a therapeutic magnesium serum level for seizures prophylaxis
What is a mag level of 5-8
Nulliparity or first pregnancy with new partner
Maternal age (< 20 yr., >35 yr.)
Increased placental size:
Multiple gestation
Diabetes
Hydatidform mole
African American race
Family or personal history of preeclampsia
Increased BMI
What are risk factors for hypertensive disorders of pregnancy
A systolic blood pressure reading ≥140 mmHg OR a diastolic ≥90 mmHg is considered this-
and should be escalated to the provider if it is a new finding
What is hypertension
This lab result assesses kidney function.
What is creatinine
Presence of hypertension and proteinuria OR hypertension and on of the following:
Thrombocytopenia – platelet count <100,000/microliter
Renal Insufficiency – serum creatinine concentrations >1.1 mg/dl or doubling of the serum creatinine concentration in the absence of other renal disease
Impaired Liver Function – elevated blood concentrations of liver transaminases (ALT/AST) to twice normal concentration
Pulmonary Edema
Cerebral or visual symptoms
What is preeclampsia
Due to the high risk nature of magnesium this is required with every new bag, rate change, or change in shift
2 RN double check
This antihypertensive is given IV push, and has a peak onset of 5 minutes
What is labetalol
This manifests as rhythmic movements due to involuntary muscle contractions, and indicates an issue with the nervous system
What is clonus
This value of total protein over a 24 hour period in the urine is indicative of preeclampsia
300mg
This is the primary cause of death for a preeclampsia patient
What is a stroke