MEDS Medical Treatment and Evaluation: 1.

Magnesium Sulfate (Pregnancy risk category B) muscle relaxant, prevent seizures loading dose 4-6g, maintenance dose 1-2g/h IV infuse IV dose slowly over 15-30 min. Always administer as a piggy back infusion. Assess PR, urine output, DTR, and clonus every hour. Observe for CNS depression and hypotonia in infant at birth. 2. Hydrazaline (Apresoline) Pregnancy risk category C anti hypertensive (peripheral vasodilator) use to decrease hypertension 5-10mg/IV Administer slowly to avoid sudden fall of BP Maintain diastolic pressure over 90 mmHg to ensure adequate placental filling. 3. Diazepam (Valium) Pregnancy risk category D halt seizures 5-10mg/IV administer slowly. Dose may be repeated every 10-15 min. (up to 30mg/hr) Observe for respiratory depression for both mother and infant at birth. 4. Calcium Gluconate (Pregnancy risk category C) antidote for Magnesium Sulfate 1g/IV (10 mL of a 10% solution) have prepared at bed side when administering Magnesium Sulfate administer at 5mL/min.

Nursing diagnoses Nursing Care Plan For Pregnancy Induced Hypertension Activity intolerance Anxiety Disturbed sensory perception (visual) Disturbed thought processes Excess fluid volume Fear Impaired urinary elimination Ineffective coping Ineffective tissue perfusion: Cerebral, peripheral Risk for injury