The patient is now 3cm/100% effaced /-2 station. What is the plan of care for the safety of this patient and her baby? Fetal heart rate is 160 with moderate variability. Contractions are now mild and 15 minutes in frequency. 1. Magnesium Sulfate is used to stop the contractions, and this has been successful. 2. What is the dose you will start with, what is the maintenance dose> 3. Please indicate what nursing interventions are necessary for use with Magnesium Sulfate?

Answer:

This case is the example of patient in eclampsia.

Magnesium sulphate maintenance dose is of 5 gm it has to be given intramuscularly every four hours in alternate buttocks.

While administering MgSo4 following things to be observed.

1. Patellar reflex should be present.

2. Urine output 120 ml for 4 hours.

3.Respiratory rate more than 16 per minute.

Apart from this vitals are to be monitored every 2 hours and inj. calcium gluconate 10mg to be kept ready in case of toxicity due to Mgso4.

While administering maintenance dose of 5 gm these 3 parameters are to be checked initially and if present then only the dose has to be given.