A primigravida client with severe gestational hypertension is admitted to the labor unit. she has been receiving magnesium sulfate iv for 3 hours. the latest data reveals deep tendon reflexes (dtrs) of + 1, blood pressure of 150/100 mm hg, a pulse of 92 beats/minute, a respiratory rate of 10 breaths/minute, and urine output of 20 ml / hour. which action would be most appropriate?

Question

Biology

Nora Haas

22 February, 13:45

A primigravida client with severe gestational hypertension is admitted to the labor unit. she has been receiving magnesium sulfate iv for 3 hours. the latest data reveals deep tendon reflexes (dtrs) of + 1, blood pressure of 150/100 mm hg, a pulse of 92 beats/minute, a respiratory rate of 10 breaths/minute, and urine output of 20 ml / hour. which action would be most appropriate?

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Edith Compton · Answer 1

Magnesium sulfate is a drug for preeclampsia. This drug can be dangerous as it could cause respiratory paralysis. In this case, the patient shows several symptoms of magnesium sulfate toxicity such as reduced respiratory rate (10 breaths/minute), decreased tendon reflex (deep tendon reflexes of + 1) and decreased urine output (20 ml / hour).

The action that needs to be done in magnesium sulfate toxicity is stopping magnesium infusion and prepare for the antidote, calcium gluconate.