Following an eclamptic seizure, the nurse should assess the client for which of the following?
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of the Comprehensive Unit-based Safety
Program (CUSP). Who should use this tool: Nurses, physicians, midwives, pharmacists, and other labor and delivery (L&D) unit staff responsible for the preparation and administration of magnesium sulfate during labor. How to use this tool: Review the key perinatal safety elements with L&D leadership and unit staff to determine how the elements will be implemented on your L&D unit. Consider any existing facility policies or processes
related to magnesium sulfate use. Consider using preprinted orders, standing orders, and staff training to support implementation. A sample of how some of these key perinatal safety elements can be incorporated into a unit approach to safe magnesium sulfate administration is provided in the Appendix of this tool. Key Perinatal Safety Elements
References
AppendixEvery effort was made to ensure the accuracy and completeness of this resource. However, the U.S. Department of Health and Human Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss or damage resulting from the use of information contained within. SAMPLE Safe Medication Administration Process for Magnesium Sulfate(References are located in the reference list above.)
Page last reviewed November 2018 Page originally created April 2017 Internet Citation: Safe Medication Administration: Magnesium Sulfate. Content last reviewed November 2018. Agency for Healthcare Research and Quality, Rockville, MD. What should a nurse assess for a patient with preeclampsia?A thorough initial assessment of the woman with possible preeclampsia should include a complete history a complete physical exam with close attention to preeclampsia symptoms, including unremitting headaches, edema, visual changes, and epigastric pain, fetal activity, and vaginal bleeding.
What is the most common complication of eclampsia?The most significant maternal complication of eclampsia is permanent CNS damage secondary to recurrent seizures or intracranial bleeding. The maternal mortality rate is 8-36% in these cases.
Which is the immediate nursing action during eclampsia?Nursing Management
Monitor blood pressure. Assess fetal heart rate. Send blood and urine for testing. Administer prescribed medications.
When a client progresses from preeclampsia to eclampsia which is the nurses first action?6. A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a plan of care for the client and documents in the plan that if the client progresses from Preeclampsia to eclampsia, the nurse's first action is to: Administer magnesium sulfate intravenously.
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