Management
If Pitocin and Magnesium are both infusing, this line needs to be connected to the closest port.
What is Pitocin?
Per the new magnesium update... all patients going on Mag will need this lab drawn.
What is creatinine
Magnesium is used cautiously in patients with...
What is significant renal impairment?
After the first hour of infusion, nurses should document this every hour while on Mag.
What are vital signs, I&O's, and adverse reactions.
This fetal complication is the result of reduced oxygen and nutrient supply.
What is fetal growth restriction?
The timing of serum magnesium lab draws is dependent on this.
What is Creatinine
The nurse needs to remain at the bedside for ______ minutes during the initial magnesium bolus.
What is 15 minutes?
This medication should be given to treat a patient with a blood pressure of 169/110, HR 55, SPo2 99%, RR-16.
What is Hydralazine?
The nurse should document this every 2 hours while the patient on magnesium.
What are DTR's, clonus, lung sounds, LOC, edema?
Seizures occur with this potential complication and is a serious medical emergency.
What is eclampsia?
Baseline assessment for symptoms of CNS irritability include...
What are headache and visual disturbances
Resuscitation equipment that must be available while infusing Mag includes...
What is Oxygen, suction and crash cart.
This medication causes vasodilation which increases blood flow to the skin causing flushing and warmth.
What is Magnesium?
Proteinuria is defined as a PC ratio of a least ____
What is 0.3 mg/dL?
Patients are on a fluid restriction to avoid this potential complication.
What is pulmonary edema?
Urine output should be at least _____...
What is 30ml/hour?
The first mag level after the bolus should be drawn ...
What is 1 hour?
This medication is given to a mag toxic patient.
What is Calcium Gluconate?
High blood pressure that develops after 20 weeks of pregnancy in a patient with previously normal blood pressure is called...
What is gestational hypertension?
This complication involves damage to the liver, red blood cells and affects blood clotting.
What is HELLP syndrome?
Presence of clonus or increasing beats of clonus is a sign of neuromuscular excitability and may indicate...
What is a suboptimal magnesium level.
While on Mag for pre-eclampsia, the patient should not exceed _____ mls of fluid per hour.
What is 125mls/hour
Patients with a documented diagnosis of Pre-eclampsia, eclampsia, gestational hypertension, chronic hypertension or any 2 validated blood pressures 140/90 or greater during their admission should receive these 2 medications postpartum.
What are Procardia and Lasix?
This develops in 13-40% of pregnant patients with chronic hypertension AND manifests as severely elevated blood pressures despite increasing antihypertensive therapy, new-onset or worsening kidney function, thrombocytopenia, pulmonary edema or persistent cerebral or visual disturbances..
What is super-imposed pre-eclampsia?
This is a complication we see when the placenta separates from the uterus, depriving baby of oxygen.
What is placental abruption?