Medications
2 first line IV antihypertensive drugs used to treat severe HTN?
What is labetalol and hydralazine
The goal of administering Magnesium Sulfate
What is prevent seizures
Notification of physician
What is BP=/> 160 or diastolic BP =/> 110 for two measurements within 15 minutes
Proteinuria
Done to improve knowledge, interdisciplinary communication and reduce preventable adverse outcomes
What are drills
Initial dose of IV labetalol and over how much time do you push it?
What is labetalol 20mg over 2 minutes
Loading doses of Magnesium Sulfate
What is 4gms or 6gms
After the second elevated reading
What is treatment should be initiated ASAP (preferably within 60mins of notification)
Considered a normal magnesium sulfate blood level
what is 4-7mEq/L
To ensure adequate renal function when a patient has magnesium sulfate infusing, this should be placed.
What is a foley catheter
Contraindications for using IV labetalol?
What is: pulse <60, active asthma, heart disease, or congestive heart failure
Antidote and dose of antidote and administration for Magnesium Sulfate
What is Calcium gluconate 1gm (10ml) 10% to be administered over 3 minutes
Event to discuss high risk patients
Board Rounds and Huddles
You are considered to have what if your platelet count is less than or equal to 100,000.
Thrombocytopenia
Sitting position, or semi reclined position with legs uncrossed, bare upper arm, and sitting quietly for 5 minutes
What is the proper way to take a blood pressure
Initial dose of IV Hydralazine and over how much time to push it?
What is 5 or 10mg IV push over 2 minutes
Early warning signs of Magnesium Sulfate toxicity
What is depression of reflexes, hypotension, flaccid muscles, respiratory rate < 12
Increasing evidence indicates that standardization of care
What is improve patient outcomes
You are considered to have proteinuria if your protein/creatinine ratio is?
What is greater than or equal to 0.3
Safety tools used when hanging magnesium sulfate
peer checking, got your back, STAR
Repeat BPs after initial doses of labetalol and hydralazine
What is labetalol 10 mins and hydralazine 20 mins
Nursing assessments during magnesium sulfate infusion
What is respiratory rate, auscultate lungs, BP, reflexes, clonus
Resource for patients to identify warning signs
What is last page of Your Guide to PP & Newborn Care- Post-Birth Warning Signs
An elevated LDH level >400 is indicative of
What is tissue damage
Safety Tool used when patient has a severe range BPs and physician does not come to see or feel treatment is needed
Speak up for Safety in particular ARCC