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Re: postpartum PIH pts.From: Dellview (Dellview@aol.com)Tue Mar 31 10:00:17 1998
Our hospital protocol states that the RN/PT ratio is 1 to 1 on anyone that is on MAG for PIH/ BP problems. They are only hourly outputs, reflexes, lung sounds, I&O, etc. The reality is that we may have one Mag and one other patient, depending how unstable she is, and how competant the nurse to pick up on any subtle changes. Postpartum Mags can have a seizure if their BPs are labile and they haven't been tolerating the PP transition. They also go over into pulmonary edema in just a few minutes if you are not careful. The PP fluid shifts and diuresis contribute to the instability. Mag patients will also bleed PP due to the vascular relaxation of the Mag. You have to have someone who knows (can eyeball) how much bleeding is too much and know what to do about it. Vicki Smith RN, SNM
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