Guest guest Posted January 22, 2006 Report Share Posted January 22, 2006 Mg levels are drawn every 4 hrs. Hourly we do respiratory rates, reflexes, check for clonus and urine output. Most times we have an artline in place which makes the q15 min blood pressures and blood drawing much easier. The patient is allowed ice chips only (depending on how strict the fluids are to be) And all iv fluids run on pumps at the ordered rate (usually combined rate of about 75 cc/hr) The patient has a foley catheter with a urometer for accurate outs. Chrisgr8expctns wrote: Hi, I am looking for policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl Find your next car at Yahoo! Canada Autos Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2006 Report Share Posted January 22, 2006 Yours are much stricter than ours. We do Mag levels q 6, or sometimes 8. After they have been on Mag for about 12 hrs, depending on the Doc, we only do if systematic, never have an art line. If no nausea, we allow clear liquids. VS are q hr., with combined IVF at 125ml/hr. Foley's are emptied q 2, unless they have decreased output. Each hospital is different! Carlene OJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2006 Report Share Posted January 22, 2006 We don't do Mag levels at all, unless symptomatic or if we need to know that they're at a therapeutic level. We do hourly I's & O's at least for the first 24-48 hours, not always for pre-termers but always for pre-eclamptics. Combined hourly fluid volume is usually 125. They have a foley. Q4hr reflexes and breath sounds. We allow clears after they're tolerating the mag and, if they've been on for at least 24 hours, they can have a regular diet. Strict bedrest. We keep pre-termers on Mag for 24 hours after their last steroid dose, unless they're extremely early, then we might keep them on for weeks. Debbie U of MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 hi, Our hospital's policy is q 1 hr BP's, q1 hr I & O, q1 hr neuro assessment, including reflexes. Most pt's have foley catheter. They are NPO , with ice chips. Total IV fluid volume is 125cc/hr . Respiratory assessment, and musculoskeletal assessment q2 hrs. We do not draw routine Magnesium levels, just if there's S & S of Magnesium toxicity. We also use only the 500cc bag of NS with 20 G Magnesium in it and use a buretrol, placing only 100cc in it at a time, so running it at 50cc/hr if the pt is on 2G/hr. I hope this helps. Judithgr8expctns wrote: Hi, I am looking for policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl What are the most popular cars? Find out at Yahoo! Autos Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 Are you looking at shor term or long term? Our hospital runs lots of Mag on the High Risk as well as L/D unit. Rarely do the pts require mag levels. We watch closely for pulmonary edema but have pts on long term therapy that do very well. They eat normally and receive IV Zofran gtts only as needed. We try to limit IV fluids to about 70cc/hr if they are taking orals. We do reflexes and lung assessments with our regular assessments. Our pts usually keep their own I/O which we review q12h unless their condition warrants more often. I would be curious to know what size hospital all of you work at - our does about 3800/year I believe with an active High Risk OB unit also. gr8expctns wrote: Hi, I am looking for policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl Yahoo! Photos Ring in the New Year with Photo Calendars. Add photos, events, holidays, whatever. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 I'm sorry.......I should have clarified..........we don't use mag at all for ?preterm labour. Ours are strictly for pre-eclamptic patients only. wrote: Mg levels are drawn every 4 hrs. Hourly we do respiratory rates, reflexes, check for clonus and urine output. Most times we have an artline in place which makes the q15 min blood pressures and blood drawing much easier. The patient is allowed ice chips only (depending on how strict the fluids are to be) And all iv fluids run on pumps at the ordered rate (usually combined rate of about 75 cc/hr) The patient has a foley catheter with a urometer for accurate outs. Chrisgr8expctns wrote: Hi, I am looking for policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl Find your next car at Yahoo! Canada Autos Find your next car at Yahoo! Canada Autos Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 I'm sorry.......I should have clarified..........we don't use mag at all for ?preterm labour. Ours are strictly for pre-eclamptic patients only. wrote: Mg levels are drawn every 4 hrs. Hourly we do respiratory rates, reflexes, check for clonus and urine output. Most times we have an artline in place which makes the q15 min blood pressures and blood drawing much easier. The patient is allowed ice chips only (depending on how strict the fluids are to be) And all iv fluids run on pumps at the ordered rate (usually combined rate of about 75 cc/hr) The patient has a foley catheter with a urometer for accurate outs. Chrisgr8expctns wrote: Hi, I am looking for policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl Find your next car at Yahoo! Canada Autos Find your next car at Yahoo! Canada Autos Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 I'm sorry.......I should have clarified..........we don't use mag at all for ?preterm labour. Ours are strictly for pre-eclamptic patients only. wrote: Mg levels are drawn every 4 hrs. Hourly we do respiratory rates, reflexes, check for clonus and urine output. Most times we have an artline in place which makes the q15 min blood pressures and blood drawing much easier. The patient is allowed ice chips only (depending on how strict the fluids are to be) And all iv fluids run on pumps at the ordered rate (usually combined rate of about 75 cc/hr) The patient has a foley catheter with a urometer for accurate outs. Chrisgr8expctns wrote: Hi, I am looking for policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl Find your next car at Yahoo! Canada Autos Find your next car at Yahoo! Canada Autos Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 This sounds very similar to ours. There isn't one policy, the docs write their own orders, most do mag levels Q8...one group doesn't do them at all unless the pt is symptomatic. Usually have foleys, I/Os q 8 or more often if there is a problem, general assessments such as lungs and reflexes q shift (12 hr) They usually start out on a clear diet but advance to regular after a day or so on Mag..we do BPs often for the first 4 hours, then back to routine (q4) after that if all is stable. Oh we do about 3000 dels a year.. sue Re: [OBnurses] Mag Sulfate policies Are you looking at shor term or long term? Our hospital runs lots of Mag on the High Risk as well as L/D unit. Rarely do the pts require mag levels. We watch closely for pulmonary edema but have pts on long term therapy that do very well. They eat normally and receive IV Zofran gtts only as needed. We try to limit IV fluids to about 70cc/hr if they are taking orals. We do reflexes and lung assessments with our regular assessments. Our pts usually keep their own I/O which we review q12h unless their condition warrants more often. I would be curious to know what size hospital all of you work at - our does about 3800/year I believe with an active High Risk OB unit also. gr8expctns wrote: Hi, I am looking for! policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl Yahoo! PhotosRing in the New Year with Photo Calendars. Add photos, events, holidays, whatever. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 This sounds very similar to ours. There isn't one policy, the docs write their own orders, most do mag levels Q8...one group doesn't do them at all unless the pt is symptomatic. Usually have foleys, I/Os q 8 or more often if there is a problem, general assessments such as lungs and reflexes q shift (12 hr) They usually start out on a clear diet but advance to regular after a day or so on Mag..we do BPs often for the first 4 hours, then back to routine (q4) after that if all is stable. Oh we do about 3000 dels a year.. sue Re: [OBnurses] Mag Sulfate policies Are you looking at shor term or long term? Our hospital runs lots of Mag on the High Risk as well as L/D unit. Rarely do the pts require mag levels. We watch closely for pulmonary edema but have pts on long term therapy that do very well. They eat normally and receive IV Zofran gtts only as needed. We try to limit IV fluids to about 70cc/hr if they are taking orals. We do reflexes and lung assessments with our regular assessments. Our pts usually keep their own I/O which we review q12h unless their condition warrants more often. I would be curious to know what size hospital all of you work at - our does about 3800/year I believe with an active High Risk OB unit also. gr8expctns wrote: Hi, I am looking for! policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl Yahoo! PhotosRing in the New Year with Photo Calendars. Add photos, events, holidays, whatever. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 This sounds very similar to ours. There isn't one policy, the docs write their own orders, most do mag levels Q8...one group doesn't do them at all unless the pt is symptomatic. Usually have foleys, I/Os q 8 or more often if there is a problem, general assessments such as lungs and reflexes q shift (12 hr) They usually start out on a clear diet but advance to regular after a day or so on Mag..we do BPs often for the first 4 hours, then back to routine (q4) after that if all is stable. Oh we do about 3000 dels a year.. sue Re: [OBnurses] Mag Sulfate policies Are you looking at shor term or long term? Our hospital runs lots of Mag on the High Risk as well as L/D unit. Rarely do the pts require mag levels. We watch closely for pulmonary edema but have pts on long term therapy that do very well. They eat normally and receive IV Zofran gtts only as needed. We try to limit IV fluids to about 70cc/hr if they are taking orals. We do reflexes and lung assessments with our regular assessments. Our pts usually keep their own I/O which we review q12h unless their condition warrants more often. I would be curious to know what size hospital all of you work at - our does about 3800/year I believe with an active High Risk OB unit also. gr8expctns wrote: Hi, I am looking for! policies at your hospitals on mag sulfate infusion. Ours does not state routine mag levels being drawn, fluid restrition, NPO status (or diet); it's in desperate need of revision. What do you do at your hospitals?thanks in advance,Cheryl Yahoo! PhotosRing in the New Year with Photo Calendars. Add photos, events, holidays, whatever. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 We do not keep our preterm Mag patients, they are transferred to our level 3 facility. Mag patients have vs, i & O, reflexes q 1 hr. If they are in labor we limit intake to 125 cc/hr. After delivery they are allowed a regular diet after 4 hours. All of our IV fluids are run on IV pumps. Mag levels are drawn every 6 hrs, more frequent if warranted. I mainly work nursery, but at the hospital I worked at last, the girls were telling me that babies whose moms are on mag sulfate for more than 12 hrs before delivery are kept NPO and have IV fluids for the first 24 hours of life. Our babies are allowed to feed ad lib, we do Mag and Calcium levels on baby if there is any problem with excessive sleepiness or poor feedings. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 We do not keep our preterm Mag patients, they are transferred to our level 3 facility. Mag patients have vs, i & O, reflexes q 1 hr. If they are in labor we limit intake to 125 cc/hr. After delivery they are allowed a regular diet after 4 hours. All of our IV fluids are run on IV pumps. Mag levels are drawn every 6 hrs, more frequent if warranted. I mainly work nursery, but at the hospital I worked at last, the girls were telling me that babies whose moms are on mag sulfate for more than 12 hrs before delivery are kept NPO and have IV fluids for the first 24 hours of life. Our babies are allowed to feed ad lib, we do Mag and Calcium levels on baby if there is any problem with excessive sleepiness or poor feedings. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 We do not keep our preterm Mag patients, they are transferred to our level 3 facility. Mag patients have vs, i & O, reflexes q 1 hr. If they are in labor we limit intake to 125 cc/hr. After delivery they are allowed a regular diet after 4 hours. All of our IV fluids are run on IV pumps. Mag levels are drawn every 6 hrs, more frequent if warranted. I mainly work nursery, but at the hospital I worked at last, the girls were telling me that babies whose moms are on mag sulfate for more than 12 hrs before delivery are kept NPO and have IV fluids for the first 24 hours of life. Our babies are allowed to feed ad lib, we do Mag and Calcium levels on baby if there is any problem with excessive sleepiness or poor feedings. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2006 Report Share Posted January 24, 2006 One more thing........We continue our mag infusion for 12-24 hrs post partum - we only use mg for preeclamptic pts- and all the same guidelines will continue as long as the mag is infusing. kemper1974@... wrote: We do not keep our preterm Mag patients, they are transferred to our level 3 facility. Mag patients have vs, i & O, reflexes q 1 hr. If they are in labor we limit intake to 125 cc/hr. After delivery they are allowed a regular diet after 4 hours. All of our IV fluids are run on IV pumps. Mag levels are drawn every 6 hrs, more frequent if warranted. I mainly work nursery, but at the hospital I worked at last, the girls were telling me that babies whose moms are on mag sulfate for more than 12 hrs before delivery are kept NPO and have IV fluids for the first 24 hours of life. Our babies are allowed to feed ad lib, we do Mag and Calcium levels on baby if there is any problem with excessive sleepiness or poor feedings. Find your next car at Yahoo! Canada Autos Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2006 Report Share Posted January 24, 2006 One more thing........We continue our mag infusion for 12-24 hrs post partum - we only use mg for preeclamptic pts- and all the same guidelines will continue as long as the mag is infusing. kemper1974@... wrote: We do not keep our preterm Mag patients, they are transferred to our level 3 facility. Mag patients have vs, i & O, reflexes q 1 hr. If they are in labor we limit intake to 125 cc/hr. After delivery they are allowed a regular diet after 4 hours. All of our IV fluids are run on IV pumps. Mag levels are drawn every 6 hrs, more frequent if warranted. I mainly work nursery, but at the hospital I worked at last, the girls were telling me that babies whose moms are on mag sulfate for more than 12 hrs before delivery are kept NPO and have IV fluids for the first 24 hours of life. Our babies are allowed to feed ad lib, we do Mag and Calcium levels on baby if there is any problem with excessive sleepiness or poor feedings. Find your next car at Yahoo! Canada Autos Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2006 Report Share Posted January 24, 2006 One more thing........We continue our mag infusion for 12-24 hrs post partum - we only use mg for preeclamptic pts- and all the same guidelines will continue as long as the mag is infusing. kemper1974@... wrote: We do not keep our preterm Mag patients, they are transferred to our level 3 facility. Mag patients have vs, i & O, reflexes q 1 hr. If they are in labor we limit intake to 125 cc/hr. After delivery they are allowed a regular diet after 4 hours. All of our IV fluids are run on IV pumps. Mag levels are drawn every 6 hrs, more frequent if warranted. I mainly work nursery, but at the hospital I worked at last, the girls were telling me that babies whose moms are on mag sulfate for more than 12 hrs before delivery are kept NPO and have IV fluids for the first 24 hours of life. Our babies are allowed to feed ad lib, we do Mag and Calcium levels on baby if there is any problem with excessive sleepiness or poor feedings. Find your next car at Yahoo! Canada Autos Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.