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Marilyn’s vital signs are BP 160/110, P 120, R 32. She has facial edema and weight gain of 4 pounds since her visit last week to see her HCP. Urine dip reveals a protein of 3+. The HCP orders include a 6-gm bolus of magnesium sulfate in 150 mL solution of LR to infuse over 30 minutes followed by 40 gm Magnesium sulfate in 1,000 mL of LR at 2 gm/hr. 1. Considering her symptoms and prescribed treatments, what specific interventions are necessary to promote safety? Marilyn has a seizure prior to administration of the Magnesium sulfate drip. The nurse was only able to start an IV of LR maintenance line and had gone to retrieve the drug solution from the pharmacy. The nurse returns to find Sally, the OB tech, holding a tongue blade in the patient’s mouth. 1. What specific drug is most likely to be given to stop the seizure? What is the effect of the drug? 2. What nursing interventions need to be instituted immediately? 3. What should the nurse’s initial response to Sally actions be? How should the nurses address this issue with Sally after the patient is out of danger?
SCIENCE
HEALTH SCIENCE
NURSING

 
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