OB Magnesium Bolus from Bag

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Dena Fisher
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OB Magnesium Bolus from Bag

Hello,

I was wondering if it would be possible to find out what everyone's practice was regarding giving the bolus dose of magnesium in Obstetrics (for preeclampsia,etc. Particularly if you use Alaris pumps. Do you bolus from the 20g/500 ml main infusion bag? Or do you send separate 2,4 or 6g bolus bags and then start the main infusion? Also do you have pump integration?

I am working on a project to standardize IV infusions and Alaris pump to prepare our 18 hospital system for pump integration. We currently have different practices at our hospitals and have the reviewed the ISMP's from 2005 and 2010 as well as ACOG and AWHONN recommendations and even did a FMEA to determine the best practice, but this is still proving to be very difficult to get everyone to agree what is the best practice.

Any help or insight would be greatly appreciated!

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