A nulliparous female is admitted to the hospital with pregnancy-induced hypertension. The orders from the physician include:
· Complete bed rest in left lateral position
· Insert Foley catheter and check hourly for protein and specific gravity
· Daily weight
· Methyldopa (Aldomet) 250 mg PO tid
· Hydralazine (Apresoline) 5 mg IV every 20 min for blood pressure over 160/100
· Complete blood count, liver enzymes, chemistry panel, clotting studies, type and crossmatch, and urinalysis
· Magnesium sulfate 4 g in 250 mL D5LR loading dose to infuse over 30 min
· Magnesium sulfate 40 g in 1000 mL LR to infuse at 1 g/hr
· Keep calcium gluconate and intubation equipment at the bedside
· Nifedipine (Procardia) 10 mg sublingual for blood pressure over 160/100 and repeat in 15 min if needed.
· Keep lights dimmed and maintain a quiet environment
· Monitor blood pressure, pulse, and respiratory rate, fetal heart rate (FHR) contractions every 15 to 30 min, and deep tendon reflexes (DTR) hourly
· Monitor intake and output, proteinuria, presence of headache, visual disturbances, and epigastric pain hourly
· Restrict hourly fluid intake to 100 to 125 mL/hr
Identify the orders that require calculations.
Set up and solve each problem using dimensional analysis.
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