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Sagot :
Contractions under observation do not suggest magnesium poisoning. Magnesium sulfate will reduce fetal variability and won't give a reliable indication of the toxicity of magnesium.
Decreased deep tendon reflexes are not correlated with urinary output. Since deep tendon reflexes (DTRs) and respiratory effort are both involuntary functions, a decrease in DTRs may be a sign that magnesium sulfate toxicity or reduced respiratory effort is possible.
The patient should be examined for any poisoning symptoms, such as pulmonary edema, muscle paralysis, visual abnormalities, somnolence, flushing, or loss of patellar reflexes. The physician must be informed if these symptoms are seen. A staff person needs to stay by the patient's bedside when the bolus is administered to oversee ongoing monitoring. After the first hour, assessments should be done every 15 minutes, then every 30 minutes, and finally hourly.
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