On-call scenario 2: Introduction
"Hello. It’s one of the midwives on the antenatal unit. I have a patient with a magnesium infusion running but she needs a dose of intravenous cefuroxime and metronidazole too. Can they all go down the same administration line?"
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Patient: Michelle Cox, hospital no. 1414777.
Medicines: Magnesium sulphate 20% intravenous infusion running at 1 gram (5ml) per hour. Total volume of infusion 50ml as per your Trust's protocol.
IV cefuroxime 1.5grams and metronidazole 500mg to be given as prophylaxis at anaesthetic induction.
No known drug allergies.
Clinical problem: Patient has eclampsia and is having an emergency caesarean section this evening. The midwife has already added the dose of cefuroxime to the 100ml metronidazole infusion bag. Can they Y-site this with the magnesium infusion? Patient is difficult to cannulate but has a single lumen peripheral line.
Where could you look for information to answer this question?
Clinical problem: Patient has eclampsia and is having an emergency caesarean section this evening. The midwife has already added the dose of cefuroxime to the 100ml metronidazole infusion bag. Can they Y-site this with the magnesium infusion? Patient is difficult to cannulate but has a single lumen peripheral line.
Where could you look for information to answer this question?