Assessments
Frequency of Vital Signs while patient is on magnesium infusion
Maintenance Fluid that is hung alongside of Magnesium Sulfate
What is LR
Amount of time it is recommended that a postpartum patient spends on magnesium post-delivery
What is 24 hours
Max number of patients an RN should care for while caring for a patient on magnesium for safety
What is 3
Vital Sign that can be checked every 4 hours while patient is on magnesium
What is Temperature
Dose in grams/hour that magnesium is typically ordered to be infused
What is 2gm/hr
True or false: Magnesium will help control the patient's blood pressure
False
True or false: Intake/Output only need to be measured every 4 hours
False--should be assessed hourly. If no catheter in place, may document output PRN void
You should be concerned about magnesium toxicity if the patient's reflexes are ______________
True or False: Maintenance fluids go to one port of the IV site y-clave and the Magnesium is connected to the other port on the IV site y-clave
False--magnesium is connected to the lower port of the maintenance fluids
Pre-eclampsia symptom that magnesium therapy is trying to prevent
What is seizure
First thing you must do if you suspect a magnesium toxicity
What is turn off the magnesium infusion and disconnect tubing to prevent inadvertent bolus dosing
Frequency in which RN should auscultate lung sounds
What is every 2 hours
Magnesium is provided as 20gm in 500mL and you must infuse it at 2gm/hr. What is the infusion rate on the pump in ml/hr?
What is 50ml/hr
Magnesium lab result that demonstrates therapeutic dosing
What type of precautions should be set up in case of emergency
What are seizure precautions:
--should have suction set up and oxygen available
Frequency of head to toe assessment of a patient 16 hours post vaginal delivery who is on magnesium
What is Q12 hours
2 Places that the IV tubing should be labeled with magnesium stickers to ensure proper identification of tubing and prevention of inadvertent bolus dosing
What is just beneath the infusion pump and just before it connects to the IV site near the patient
Drug used to reverse magnesium toxicity
Calcium Gluconate
What are the 3 situations that you must perform a dual sign off on the MAR for the magnesium
What is:
1-New bag
2-Change of shift/handoff
3-Dosage changes