I hope this post finds you well. Our hospitals have been working on developing processes/strategies to align with TJC’s new Maternal Complication Standards.
One of the projects involves emergent management of eclampsia. The protocol that our OBs are proposing is from ACOG and recommends that 5 gm/5 mL intraMUSCULAR magnesium (x2 doses) be given to patient that do NOT have IV access. The total dose equates to 10 grams and involves using 50 % concentrated magnesium.
Our OBs are asking for the magnesium to be available in Pyxis for emergent use. This would deviate from our current standard of limiting concentrated electrolytes to Pharmacy storage only.
I'm interested in how others are managing this at their site. Best, KB