# 請將針對嚴重子癇前症開始處方硫酸鎂維持輸注的步驟依序排列。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=514128&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 請將針對嚴重子癇前症開始處方硫酸鎂維持輸注的步驟依序排列。 在輸注期間持續進行呼吸、反射、尿量、鎂和胎兒-母親的系列評估。 確認膝反射、呼吸速率、尿量、腎功能以及核准的維持劑量。 將輸注幫浦設定為 50 mL/hr，以從 20 g 溶於 500 mL 的輸液袋中輸送 2 g/hr。 確認濃度：20 g 溶於 500 mL 等於 40 mg/mL。 如果呼吸或反射變得遲緩，停止輸注並啟動毒性反應措施。 ## 解析 評估優先，其次是濃度確認、速率計算和設定、主動監測，以及在需要時的毒性反應措施。 ## 深入解析 快速解答 使用評估 - 確認濃度 - 計算並設定 - 監測 - 因毒性而停止。 為何這是正確的 20 g 溶於 500 mL 是 0.04 g/mL 或 40 mg/mL。因此，每小時 2 g 的劑量需要 50 mL/hr。腎功能受損會增加鎂累積的風險，因此反射、呼吸、尿量和血中濃度至關重要。 簡單類比或心像 在準備輸液袋之前檢查病人，在設定輸液幫浦之前處理輸液袋，然後持續觀察病人。 記憶點 病人、濃度、速率、趨勢、搶救。 NCLEX 決策規則 計算只有在輸注前安全評估和設定後監測與其連結時才算完成。 為何其他選項是錯誤的 在評估之前設定輸注可能會將鎂輸注到清除功能受損的病人體內，而延遲對呼吸或反射遲緩的反應則會讓毒性進展。References 1DailyMed: Magnesium Sulfate in Water for InjectionOne-to-two-gram hourly maintenance, reflex and respiratory monitoring, and renal maximum ## 臨床情境 鎂輸注順序 確認腎臟清除率、尿量、反射、呼吸、輸液袋濃度、g/hr 醫囑、mL/hr 設定以及毒性反應用品。 ## 相同主題題目 - [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=zh-tw) - [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=zh-tw) - [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=zh-tw) - [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=zh-tw) - [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=zh-tw) - [A nurse is monitoring a client receiving a continuous IV heparin infusion for pulmonary em…](https://mymerci.kr/pages/nclex_q.php?qn_id=363988&lang=zh-tw) - [A nurse is preparing to initiate a weight-based continuous IV unfractionated heparin infus…](https://mymerci.kr/pages/nclex_q.php?qn_id=364107&lang=zh-tw) - [A nurse is providing discharge teaching to a 65-year-old client newly prescribed warfarin …](https://mymerci.kr/pages/nclex_q.php?qn_id=364872&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=514128&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=514128&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=514128&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=514128&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=514128&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_