Cardiovascular and Respiratory Assessment
Abdominal, Musculoskeletal, and Neurological Assessment
Pediatric and Geriatric Assessments
Use of Diagnostic Tools (e.g., stethoscopes, otoscopes)
Understanding Abnormal Findings and Next Steps
MgSO4 function - CNS depressant, smooth muscle relaxant
1/2 risk of eclampsia and reduces risk of maternal death
ALSO--neuroprotection of baby
Pitocin and MgSO4 - work against each other--pitocin should not used if recently
given MgSO4 and if used we will need A LOT of it
MgSO4 and Kidneys - NEED ADEQUATE KIDNEY FUNCTION (30mL/hr)
otherwise TOXICITY can ensue
MgSO4 therapeutic serum level - 4-7
Normal symptoms of MgSO4 - nausea, feeling of warmth, flushing
Signs of MgSO4 toxicity - muscle weakness, hyporeflexia, slurred speech,
respiratory depression, oliguria, decreased LOC
MgSO4 antidote: - calcium gluconate
Nursing considerations with MgSO4: - double check
1) at shift change
2) dose change
3) started
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