Unit 2 Case Study 1 Nursing Care of the Laboring Patient Cindy, a 17-year-old G1
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Question
Unit 2 Case Study 1
Nursing Care of the Laboring Patient
Cindy, a 17-year-old G1P0 is admitted to the labor and delivery unit for an induction at 38 weeks gestation. She was diagnosed with preeclampsia at 34 weeks gestation. She has been on strict bed rest for the past 4 weeks. She has been doing daily fetal kick counts and had a BPP done 2 days ago which was normal. She has been placed on an external fetal monitor and FHT’s are 125-135 with accelerations noted. The external contraction monitor shows no contractions and Cindy denies feeling any contractions. A vaginal exam is done and she is 2 cm dilated, 75% effaced and the fetus is at a 0 station. An IV of LR has been started in her left forearm and is running at 75ml/hr. The physician has prescribed MgSO4 and has ordered initial admission labs: CBC, Type and Cross and a Liver Profile now and a MgSO4 level to be drawn in 2 hours. The time is now 0800.
2. The loading dose has been administered and was complete at 0830. The physician has ordered the maintenance dose to be 2 GM/hour. The MgSO4 has arrived from pharmacy mixed as 40Gm in 1000cc of LR. Calculate the hourly rate in ml/hour?
Explanation / Answer
Hourly rate = total volume/ hour
Total volume = 2gm/40gm = 0.05 x 1000 ml = 50ml
Hourly rate = 50ml/hr
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