Bolus
Magnesium Sulfate is connected to this port on the IV Site.
What is the closest port to the patient?
A weight should be completed on pt's receiving magnesium sulfate this frequently.
what is daily?
Per the policy, this is the therapeutic range for Magnesium Sulfate patients in the maternal population at KP MCH.
What is 4-7 MEq/L?
This flowsheet should be used to document assessments related to magnesium sulfate.
What is the "Mag Sulfate" flowsheet?
What is 20-30 minutes?
This should be assessed every 1 hour in labor and every 2 hours in MB during maintenance magnesium sulfate infusions.
What are vital signs?
This is the antidote for Magnesium Sulfate and is kept in the pyxis at all times.
What is Calcium Gluconate?
This should be considered for strict I&O purposes and patient safety if a patient is on complete bedrest.
What is a foley? this is at discretion of physician based on pt status.
VS should be checked this frequently during the bolus per MCH policy and the CMQCC.
What is BEFORE or at exact start time of the bolus and every 5 minutes during the bolus?
This is the recommended total fluid infusion amount per CMQCC?
what is 125ml/hour ?
When toxicity is identified this is the first action taken.
What is STOP the infusion and disconnecting the line from the patient, then immediately notify the provider?
This tool should be used to support respiratory hygiene and initiated on all patients receiving magnesium sulfate.
What is an incentive spirometer?
Where the Magnesium Sulfate Checklist and Severe Hypertension algorithm is located?
OB crisis binder in each labor room and at ANM desk (?? PP now)
True or False: Scanning the bag will enter I&O automatically since magnesium is a high-risk drug.
False, I&O must be calculated and "volume infused" be calculated RN.
This is how often vital signs should be checked if toxicity is identified.
What is BP, P, RR, DTR, and LOC every 5 minutes until stable?
True or False: When administering magnesium sulfate for neuroprotection the vital signs are checked at different intervals than for severe preeclampsia.
What is false, The same policy for neuroprotection and magnesium sulfate checklist should be used.
List 3 baseline assessments which should be completed prior to starting a Magnesium Sulfate Bolus.
What is feta;/uterine assessment, VS, DTRs, lung sounds, and edema (Can Pick 3 of those)
These assessments should be completed every 2 hours in labor during maintenance infusion.
What is I&O, lung sounds, and reflexes?
This is how calcium gluconate is administered.
It is given stat at direction of the provider, administered IV over 5 minutes (approx 600 ml/hour per MAR)
This equipment should be available in all rooms when magnesium sulfate infusion is being administered.
What is oxygen, pulse oximetry, and emergency equipment?