Term
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Definition
Absence of menses
Earliest symptom of pregnancy (presumptive or subjective change) |
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Term
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Definition
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Term
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Definition
Oral contraceptives
Prostaglandin inhibitors
Diet/exercise
Heat, massage, rest
Avoid: caffeine, coffee, cola, chocolate |
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Term
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Definition
Symptom complex r/t luteal phase of menstrual cycle.
Symptoms most pronounced 2-3 days bf period onset.
Restrict foods with methylxanthines. |
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Term
| Methylxanthine-containing foods |
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Definition
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Term
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Definition
Increase proteins, complex carbohydrates and frequency of meals.
Aerobic exercise |
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Term
Fertility Awareness Method:
Basal Body Temperature |
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Definition
Method to detect ovulation by taking temp every morning upon awakening.
Temp. drops slightly just before ovulation and then rises and remains elevated for several days after. |
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Term
| Basal Body Temperature as contraception |
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Definition
Abstain from intercourse on the day of the temp rise and for 3 days after.
Some couples abstain for several days prior to expected rise. |
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Term
Fertility Awareness Method
Cervical Mucus (aka Ovulation Method or Billings Method) |
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Definition
| Amt. and character of mucus changes in response to estrogen and progesterone levels during cycle. |
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Term
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Definition
Clearer, more stretchable
called "Spinnbarkeit"
more permeable to sperm
fern pattern when put on a glass slide and allowed to dry. |
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Term
| Progesterone-dominant mucus |
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Definition
Occurs during luteal phase
Thick and sticky
Forms a network that traps sperm |
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Term
| Cervical mucus as contraception |
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Definition
| Abstain from intercourse from the time woman first notices that mucus is becoming clear/elastic until 4 days after the last wet/clear mucus. |
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Term
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Definition
| Disease historically related to use of super absorbent tampons. Caused by a toxin released by S. aureus. |
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Term
| Toxic Shock Syndrome: Treatment |
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Definition
Hospitalization
IV Fluids to maintain BP
Broad-spectrum antibiotics to address septicemia |
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Term
| Fibrocystic Breast Changes |
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Definition
Most common of benign breast disorders
30 to 50-year-old women
Thickening of normal breast tissue with a later occurrence of cysts. |
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Term
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Definition
Common benign tumor seen in women in their teens and early 20s.
Freely movable.
Solid tumors that are well-defined.
Sharply delineated and rounded.
Rubbery texture.
Asymptomatic and non-tender. |
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Term
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Definition
Usually in menopause years
Usually benign breast issue but may become malignant |
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Term
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Definition
Inflammation of breast ducts behind nipple.
During or near the onset of menopause.
Not associated with malignancy. |
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Term
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Definition
Perform breast exams monthly.
Women ages 40 and over should have annual mammogram. |
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Term
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Definition
| Endometrial tissue grows outside the endometrial cavity, can be anywhere in the body, but most commonly in the pelvis. |
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Term
| Endometriosis Signs and Symptoms |
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Definition
Pelvic cramping
Abnormal bleeding
Dyspareunia |
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Term
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Definition
Thin, watery, yellow-gray discharge with foul "fishy" odor
Upset in normal vaginal flora. |
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Term
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Definition
| NO ALCOHOL while taking this medication! |
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Term
| Yeast Infection (moniliasis) |
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Definition
Most common form of vaginitis women experience.
Causes: oral contraceptives, immunosuppressants, antibiotics.
Candida albicans is the fungus responsible for it. |
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Term
| Recurrent yeast infections |
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Definition
| If woman has 4 or more vulvovaginal candidiasis episodes: test her for elevated blood glucose because she may have diabetes. |
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Term
| Yeast infection: Treatment |
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Definition
Intravaginal: Butoconazole
Miconazole, Tioconazole, Terconazole, Clotrimazole
Nystatin suppositories, cream or tablets
Diflucan |
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Term
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Definition
Often asymptomatic
Thin or purulent discharge
Dysuria
Lower abdominal pain |
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Term
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Definition
Newborns: Erythromycin opthalmic
Non-pregnant: Doxycycline, Azithromycin
Pregnant: Amoxicillin |
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Term
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Definition
Purulent, green-yellow discharge
Dysuria
Urinary frequency |
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Term
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Definition
Cefixime (Suprax)
Doxycycline |
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Term
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Definition
Chancre at site of entry.
Flulike symptoms: low-grade fever, malaise |
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Term
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Definition
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Term
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Definition
Soft, grayish pink lesions on the vulva, vagina, cervix or anus
Cauliflower-like lesions |
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Term
Condyloma (genital warts)
Treatment |
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Definition
Cryotherapy
Surgical removal
Curettage (scraping)
Laser surgery |
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Term
PID (Pelvic Inflammatory Disease)
S/S |
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Definition
Fever/chills
Bilateral sharp cramping
Lower abdominal pain
Purulent vaginal discharge
Irregular vaginal bleeding
N/V
Malaise |
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Term
|
Definition
IV Antibiotics (same as for Gonorrhea & Chlamydia)
Cefixime, Doxycycline, Azythromycin
Pregnant - Amoxicillin |
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Term
|
Definition
| Do NOT remove an IUD until at least 24-48 hours after start of treatment. |
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Term
Bacterial Vaginosis
Treatment |
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Definition
Metronidazole (Flagyl)
or Clindamycin |
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Term
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Definition
Instillation of dye into the uterine cavity.
May have a therapeutic effect of flushing debris, breaking off adhesions .
Can cause referred pain to shoulder area. |
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Term
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Definition
Definitive method of diagnosis and treatment of intrauterine pathology.
Fiberoptic instrument is inserted into uterus to evaluate polyps, fibroids or structural variations. |
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Term
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Definition
Direct visualization of the pelvic organs
Outpatient procedure
3-puncture approach through the umbilical area |
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Term
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Definition
Close look at sperm quality, quantity & motility
Collect after 2-3 days abstinence |
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Term
| Clomid (Clomiphene Citrate) |
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Definition
| Medication that induces ovulation in 70% of women |
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Term
| In Vitro Fertilization (IVF) |
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Definition
Woman's eggs are collected from her ovaries.
Fertilized in lab.
Placed into her uterus after normal embryo development has begun. |
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Term
| GIFT - Gamete Intrafallopian Transfer |
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Definition
1. Retrieval of eggs by laparoscopy
2. Immediate placement of eggs in a catheter with washed motile sperm
3. Placement of gametes into the fimbriated end of fallopian tubes. |
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Term
| ZIFT - Zygote Intrafallopian Transfer |
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Definition
Eggs are retrieved and incubated with man's sperm.
Eggs transferred back to woman's body at early stage into fallopian tubes. |
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Term
| TET - Tubal Embryo Transfer |
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Definition
Eggs are retrieved and incubated with man's sperm.
Embryo is transferred back to the fallopian tube. |
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Term
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Definition
Product of a union of a normal gamete (egg or sperm) with a gamete that contains an extra chromosome.
Individual has 47 chromosomes.
Almost always incompatible with life. |
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Term
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Definition
Down syndrome
Most common trisomy seen in children |
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Term
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Definition
Only one X chromosome or partially missing second X chromosome in female.
No intellectual impairment, but perceptual difficulties
Low hairline, webbed neck, short stature
Usually infertile. |
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Term
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Definition
Extra X chromosome in male
Mild mental retardation.
Occasional gynocomastia, lack of male muscular and sexual development.
Small, soft testes |
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Term
| In US, teen birth rate breakdown amongst ethnicities |
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Definition
African-American 63.7 per 1000
Hispanic 83 per 1000
White 26.6 per 1000 |
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Term
| Major Risk Factors for Teen Pregnancy |
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Definition
L - Low educational achievement
A - Age, the younger the teen is when she first gets pregnant the more likely she is to have another teen pregnancy
P - Poverty
S - sister who had a teen pregnancy OR mom who had a teen pregnancy
S - Single parent home |
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Term
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Definition
Irregular contractions
Lessened by walking, rest or warm water
Discomfort felt primarily in abdomen
Contractions do not dilate cervix |
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Term
| Premonitory Signs of Labor |
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Definition
Bloody show
Braxton-Hicks
Cervical changes
Diarrhea
Lightning
Membrane rupture
Nesting
Weight loss of 1-3 lbs. |
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Term
|
Definition
1st - Latent, Active, Transition
2nd - Complete dilation to delivery
3rd- Delivery to placental delivery
4th - 1-4 hours after placental delivery |
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Term
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Definition
Dilatation: 0-3 cm.
Frequency: 10-30 minutes progressing to 5-7 minutes
Duration: 30-40 seconds |
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Term
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Definition
Dilatation: 4-7
Frequency: 2-3 minutes
Duration: 40-60 seconds |
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Term
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Definition
Dilatation: 8-10 cm.
Frequency: 1.5-2 minutes
Duration: 60-90 seconds |
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Term
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Definition
Color
Heart Rate
Muscle Tone
Reflex Irritablity
Respiratory effort |
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Term
| Umbilical Cord Characteristics |
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Definition
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Term
| Anesthesia for Labor and Delivery |
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Definition
Spinal block
Pudendal block
Lumbar epidural block
General anesthetic - induced unconsciousness |
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Term
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Definition
For hypotension as a result of epidural regional block.
If BP is not restored after 1-2 minutes of increasing infusion flow rate, changing mom's position, and giving 02 then administer 5-10 mg. IV of this drug. |
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Term
| Hypotension will result in what heart rate for baby? |
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Definition
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Term
| Precautionary measure after rupture of membranes |
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Definition
Evaluate baby's heart rate.
If LOW
Do a vaginal exam to check for prolapsed cord.
IF cord is prolapsed, keep finger in there |
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Term
|
Definition
Medication that induces pulmonary maturation in fetus.
Decreases incidence of RDS in preterm infants.
Give injections (12 mg) once a day for two days. For best results, birth should be delayed for at least 24 hours after completing the first round of treatment. |
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Term
|
Definition
Labor that occurs between 20 and 36 completed weeks of pregnancy.
Contractions:
4 in twenty minutes OR
8 in an hour.
More than 80% effaced and/or 1 cm. or > dilated. |
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Term
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Definition
| Delivery takes less than 3 hours. |
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Term
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Definition
| Pregnancy that goes beyond 42 weeks gestation |
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Term
| Ideal Birth Presenting Position |
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Definition
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Term
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Definition
Head is neither flexed or extended.
Top of head is presenting part. |
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Term
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Definition
Fetal head is partially extended.
There will be facial edema.
One of the hardest to deliver. |
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Term
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Definition
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Term
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Definition
Stripping of membranes
Pitocin infusion
Cervical ripening: cervadil
Amniohook: rupture of membranes |
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Term
|
Definition
| Use of medications in an attempt to stop labor |
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Term
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Definition
Procardia
Magnesium sulfate
Terbutaline sulfate (Brethine) |
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Term
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Definition
Monitor BP every 10-15 minutes will giving it.
Therapeutic levels: 9-13
Respiratory depression occurs at levels of 14 mg/dL
Cardiac arrest occurs at levels above 30 mg/L |
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Term
| Magnesium Sulfate Toxicity |
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Definition
Loss of reflexes; marked lethargy
Urinary output of less than 30 mL/hr
Give calcium gluconate if mag level gets too high. |
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