Unique Plan Description: ED Magnesium Sulfate for OB Patient
Plan Selection Display: ED Magnesium Sulfate for OB Patient
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2017-10-02 13:44:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:20:34
Available at all facilities: Yes

ED Magnesium Sulfate for OB Patient
Vital Signs
	Vital Signs
		T;N, Perform deep tendon reflexes and Neuro checks, STAT and Q15MIN while on magnesium infusion
Laboratory
	Magnesium Level
		T;N, Stat, spec type = Blood
IV Solutions
	magnesium sulfate 4gm in 100mL water
		4 gm, IVPB, Once, 200 ml/hr
			Comment: 4 gm in 100 mL water, infuse over 30 minutes
	magnesium sulfate 20 gm in 500 mL water Premix IV
		500 mL, IV
			Comment: 1 gm/hr = 25 mL/hr1.5 gm/hr = 37.5 mL/hr2 gm/hr = 50 mL/hr2.5 gm/hr = 62.5 mL/hr3 gm/hr = 75 mL/hr
		20 gm, EVERY BAG, 2 gm/hr
			Comment: 1 gm/hr = 25 mL/hr1.5  gm/hr = 37.5 mL/hr2 gm/hr = 50 mL/hr2.5 gm/hr = 62.5 mL/hr3 gm/hr = 75 mL/hr
Medications
	calcium gluconate
		1 gm, Solution, IV Push, Q5MIN, PRN, absence of deep tendon reflexes
			Comment: Flush IV line before administering. May give 1gm IV Push over 5 minutes (max rate: 200mg/min). Administer in large vein to decrease risk of thrombophlebitis and extravasation. May repeat as necessary. Patient must be placed on telemetry if this drug is administered.

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase