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we have premixed bags with 20grams MgSO4 in 500cc D5W. We run the pump to deliver either 4 or 6 grams bolus over 30 mins, then continuous dose of 2grams/hr (25cc/hr) for pre-E. We also have to have another RN verify our pump settings and bag dose before starting infusion. The rates differ depending on the indication for tx (neuroprotection, PTL, pre-E) .
I'm curious what other hospital's protocols for BPs, DTRs, UOP, and fetal/uterine assessments are while receiving Mag...?? Thanks!!
our pharmacy will eventually send up the premixed bolus bag...but usually the other bag comes first and if we are in a hurry we will use the 1000ml bag to bolus and then adjust the rate...it all goes on a pump and for the 15min. bolus the nurse stays at the bedside anyway. after that, we go to q1hr vitals and mag checks with reflexes, symptoms etc... until they are considered 'stable', typically delivered and after recovery, and then sometimes we can go to q2hrs. fetal assessments are q15min for labor patients or q1hr for non-labor patients.
LDR-RN
46 Posts
when you are hanging a bag of mag sulfate, when giving the bolus, do you have pre mixed bags of 4 grams, 6 granms, etc.? or do you have a larger bag that contains 20g or 30g and then set the pump to deliver the correct bolus amount? or do you mix your own bags? i think the safest way would be to have smaller dosage bags premixed in pharmacy. how do your l&d units do this? thanks!