Medication
This dose for this HTN medication is 5-10 mg IV, over 2 minutes.
What is Hydralazine?
This is the correct patient position for obtaining an accurate BP.
What is sitting or semi-reclining position, with arm at heart level?
Bonus: Feet flat, not dangling
RN should notify provider if urine ouput is less than this 2 hour total volume.
What is 60 ml?
These precautions should be taken for seizure risk patients?
What are padded side rails, suction (Yaunker tip) & oxygen @ bedside, quiet and calm environment, side rails up and bed in lowest position.
This medication is used as a CNS depressant to prevent seizures. It is also the first line treatment for seizures in eclamptic patients.
What is MGSO4?
This medication is given with a repeat BP check every 10 minutes?
Bonus- Dose?
What is Labetolol?
Bonus- 20 mg IV
Per TCHHN policy, DTRs should be checked this often on patients receiving MGSO4.
What is every hour?
This is NOT a fetal consequence of maternal HTN.
Growth restriction
Polyhydramnios
Abruption
Preterm delivery
Non-reassuring fetal status
What is Polyhydramnios? (Oligohydramnios is correct)
For MGSO4 toxicity, this antedote will be given.
What is Calcium Gluconate?
Acronym (and meanings) for MGSO4 toxicity?
What is?
B- Blood pressure decreased
U- Decreased urine output
R- Decreased respirations
P- Decreased patellar reflexes
Per TCHHN policy, typical MGSO4 loading dose is what?
What is 4-6 grams?
** 4-6 grams per provider
This percentage of the upper arm should be covered by the BP cuff (ie the width of the cuff).
What is 80%
Diagnostic BP values for Preeclampsia without severe features.
Bonus- BP values for Preeclampsia with severe features.
What is 140/90? (**systolic OR diastolic, on 2 occasions at least 4 hours apart, after 20 weeks gestation).
Bonus- What is 160/110
For recurrent seizures, these 2 medications may be given?
What are Ativan (Lorazepam) and Valium (Diazepam)?
What is 5-8?
Treatment with a five-day course of this drug improved and expedited successful management of hypertension in the immediate postpartum period.
What is Lasix?
This is the current location of the padded siderails.
What is the clean utility room, bagged and on the back cart?
Define meanings for acronym HELLP.
What is
H- Hemolysis
E, L- Elevated liver enzymes
L, P- Low platelets
This method of BP assessment is outdated and should not be used.
Bonus: Why?
What is side-lying positioning?
Bonus: Artificially lowers reading
If unable to establish IV access, MGSO4 can be given via this route?
Bonus- Dose and location
What is IM injection?
Bonus-5 grams in each buttock
This HTN medication, given in capsule form PO, has an onset of action of 5-10 minutes.
What is Nifedipine?
Ongoing hourly checks on MGSO4 pateints includes all of these assessments.
Pulse, Respiration, Temperature, BP, and DTRs.
*Along with complete neuro assessment
Pre-existing HTN prior to 20 weeks gestation is defined as this.
What is chronic hypertension?
These are containdications for MGSO4 therapy?
What are Myasthenia Gravis, pulmonary edema, and renal failure?
When administrating MGSO4, total hourly IV rate should not exceed this number.
What is 125 ml/hr?