Typical Magnesium Sulfate Protocols for PIH

Page by: E.J. Mayeaux, Jr., M.D.
Louisiana State University Medical Center Shreveport, Louisiana

Admit Magnesium Sulfate Protocols for PIH

  1. LOADING DOSE: MAGNESIUM SULFATE 4GMS IVPB ADMINISTERED OVER 20-30 MIN.
  2. MAGNESIUM SULFATE 25 GMS IN 200cc D5W TO INFUSE @ 2 GMS/HR/IVAC/IVPB.
  3. DTR'S Q 2 hours.
  4. INTAKE and OUTPUT Q 2 hours.
  5. MONITOR FETAL HEART TONES AND CONTRACTIONS.
  6. MAGNESIUM SULFATE LEVEL 2 HRS post LOADING DOSE HAS INFUSED AND q 6 hours THERE AFTER.
  7. VITAL SIGNS q 1 hour with BP q 15 MIN.
  8. FOLEY with URIMETER IF SEVERE PIH.
  9. NOTIFY MD IF:
    1. URINE OUTPUT &LT 30cc/HR
    2. DTR's &LT 1+
    3. RESPIRATORY RATE &LT 16/MIN.
  11. LEFT OR RIGHT LATERAL POSITION.
  12. SEIZURE PRECAUTIONS.

POST PARTAL MAGNESIUM SULFATE ORDERS

  1. MAGNESIUM SULFATE 4GMS in 250cc D5W TO INFUSE.
  2. IVPB @ 125cc/HR per IVAC X 24 hours post DELIVERY.
  3. IV: ____________ TO KEEP OPEN.
  4. INTAKE and OUTPUT q 2hours X 24hours.
  5. DTR'S q 1 hour.
  6. VITAL SIGNS q 2 hours.
  7. ACTIVITY: AD LIB.
  8. NOTIFY MD OF:
    1. URINE OUTPUT &LT 30cc/HR
    2. DTR'S &LT 1+ or BP &GT 160/110 mm Hg.
    3. RESPIRATORY RATE &LT 16/MIN.
  10. SEIZURE PRECAUTIONS.
  11. LAB: HEMOGLOBIN and HEMATOCRIT IN AM.

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