OB question...mag sulfate

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Okay, can anybody help me in determining what NANDA approved nursing diagnoses I can use for a patient on magnesium sulfate? That is what my whole care plan is centered on and I can't really find anything that I believe to be "NANDA approved" :(

Thanks for your help.

Mike

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Why is she taking it? Pre or post delivery?

What are your ideas so far?

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Yeah she is postpartum. She delivered preterm because "her BP was getting too high." She didn't have any other signs of preeclampsia just high BP. I asked the nurse about this and she was unable to explain why the doctor jumped the gun and delivered via C-section. My assumption is that she is on it prophylactically to prevent seizures. Her gestational age at delivery was 33 and 1/7.

This care plan is killing me!

Mike

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Sorry for the lack of help here! Is she taking an opioid analgesic as well? I imagine she would be after a c-section. You could do risk for respiratory distress r/t compounded effects of CNS depression. That's the best I've got! GL!

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what about breastfeeding... if she is, is there risk for ineffectiveness due to being loopy on the mag sulfate (I was on this and it makes everything wonky...) (I know that's not NANDA, but a point to jump from). also what about family processes - she probably wasn't ready to deliver at 33 weeks and is likely in mental shock over the sudden c-section, etc.

Good luck :)

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Specializes in ED.

We were just talking about MgSO4 today in OB clinical. There are so many "ifs" and "buts" when caring for the patient on this.

Try to focus on the ABCs and assessment stuff if using it as a tocolytic.

m

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