Which of the following is the earliest sign of magnesium toxicity in a patient with eclampsia on treatment with magnesium sulphate:
Correct Answer: Loss of deep tendon reflexes
Description: -During Magnesium toxicity, the first reflex to be lost is patellar reflex (loss of knee jerk) -While giving MgSO4 things should be monitored are as follows; Respiratory rate should be at least more than 12 Output should be more than 100 ml / 4hrs Knee jerks should be present Serum Mg2+ levels(meq/l) Clinical effects 4-7 Normal therapeutic level 8 - 10 Patellar reflex disappear 10-15 Respiratory depression 12-15 Respiratory paralysis 25 - 30 Cardiac arrest
Category:
Gynaecology & Obstetrics
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