Internado Rotatorio Medicina Bolivia Practice Questions - Internado Rotatorio De La Carrera De Medicina (Bolivia) Exam

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A 28-year-old postpartum woman receiving a magnesium sulfate infusion for severe preeclampsia is noted to have loss of deep tendon patellar reflexes, a respiratory rate of 10 breaths per minute, and an hourly urine output of 15 mL over the past 2 hours. What is the immediate life-saving intervention?

Increase the intravenous fluid rate to 250 mL/hour and administer intravenous furosemide Administer intravenous naloxone 0.4 mg and continue the magnesium sulfate infusion at half the rate Stop the magnesium sulfate infusion and administer 10% calcium gluconate 1 g (10 mL) intravenously over 3 to 5 minutes Perform emergency endotracheal intubation immediately without discontinuing the infusion

Correct Answer:

Stop the magnesium sulfate infusion and administer 10% calcium gluconate 1 g (10 mL) intravenously over 3 to 5 minutes

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