Medication
Documentation Station
Risk Factors
Magnesium Sulfate
Miscellaneous
100
Cytotec (misoprostol) 800-1000mg is given via this route.
What is sublingually or rectally?
100
Your patient is suspected of having a postpartum hemorrhage. You weigh her pads and determine that she has had 340 mL of blood loss, in addition to her blood loss from delivery. You document her new blood loss under this tab.
What is the I&O tab?
100
Abnormal placentation (previa, accreta spectrum) puts a patient at risk for this.
What is postpartum hemorrhage?
100
This includes respiratory rate, blood pressure, level of consciousness, and other assessments.
What is a magnesium assessment?
100
The Jada device is effective for this "T" of postpartum hemorrhage.
What is tone?
200
Labetalol, given IV for hypertensive crisis, is administered in these subsequent doses for continued hypertension.
What is 20mg, 40mg, and 80mg?
200
Your patient is unresponsive during a PPH. You give her hemabate to help treat the hemorrhage. Her partner asks what you have just given her. Under this tab, you can document that you explained the medication to him.
What is the education tab?
200
A patient is expected to have a large for gestational age baby. The patient is at risk for this.
What is postpartum hemorrhage?
200
This should be kept at bedside for any patient on magnesium sulfate.
What is calcium gluconate?
200
After 1000mL of blood loss, the patient is considered to be in this stage of postpartum hemorrhage.
What is stage 1 postpartum hemorrhage?
300
Methergine, administered intramuscularly, is given in this dose.
What is 0.2mg?
300
The patient was admitted on 2/18 at 2000 and delivered on 2/20 at 1200
What is there is no assessment of PPH risk prior to birth?
300
Patients with preeclampsia are at risk for this other hypertensive disorder of pregnancy.
What is HELLP (hemolysis, elevated liver enzymes, and low platelets)?
300
All patients on magnesium sulfate should be on this type of precaution.
What are seizure precautions?
300
When medications don't seem to be working for postpartum hemorrhage, a provider may want to initiate this.
What is an MTP or massive transfusion protocol?
400
This medication, used for postpartum hemorrhage, can cause nausea or vomiting.
What is oxytocin, TXA, methergine, hemabate, or cytotec? (any PPH med)
400
This patient was started on magnesium sulfate at 0900.
What is there are no respirations at 0915, 0930, and 0945/q15 mins for the first hour)?
400
Chronic hypertension is a risk factor for this.
What is preeclampsia?
400
Besides seizure prophylaxis for a preeclamptic patient, this is an indication for magnesium sulfate administration.
What is preterm labor?
400
Cardiac arrest occurs at a serum magnesium level of 30-35mg/dL. The therapeutic range for serum magnesium is this.
What is 4.8-8.4 mg/dL?
500
This medication is 10 mg, given orally.
What is immediate release Nifedipine?
500
This patient is on magnesium sulfate for preterm labor, but is not experiencing any preeclamptic pain symptoms.
What is the row needs to be expanded for the nurse to document DTRs and Level of Consciousness?
500
A patient carrying twins presents with jaundice and abdominal pain. Multiple gestation puts a patient at risk for this hypertensive disorder of pregnancy.
What is acute fatty liver of pregnancy?
500
Breath sounds are assessed every 4 hours for a patient on magnesium sulfate. We do this for early identification of this complication of magnesium sulfate administration.
What is pulmonary edema?
500
Patients with preeclampsia are at risk for developing eclamptic seizures. If a patient begins to seize, you should not do this.
What is attempt to restrain the patient?