Magnesium Sulfate

 

University of Perpetual Help System of Laguna Dr. Jose G. Tamayo Medical University Sto. Niño, Biñan, Laguna

College of Nursing EMERGENCY MEDICATIONS DRUG

MECHANISM OF

IN INDI DICAT CATION ION

ACTION

CONTR CONTRAI AIND NDICA ICATI TI

SIDE EFFECTS

ON

NURSING RESPONSIBILITIE S

Generic Name: Magnesium sulfate

Brand Name: Epsom salts

Classification: Anticonvulsant,miscellaneo us and laxative, saline

>magnesium sulphate depresses the CNS and controls convulsions by blocking release of  acetylcholine at the myoneural junction .

>prevention and treatment of seizure in severe pre-eclampsia or  eclampsia >to control hypertension

>Parenteral administration of the drug is contraindicated in patients with heart block or myocardial damage.

Magnesium intoxication Magnesium which includes: >flushing > sweating

>pain in the chest, back,

>muscle weakness

>patients with aplastic

> dizziness

anemia may require platelet transfusion

> drowsiness > muscle weakness >slowed/shallow breathing or other  breathing trouble.

> Monitor  pressur sure e, pulse, blood pres respirations and ECG frequently throughout administration of  parenteral magnesium sulfate. > Respirations should be at least 16/min before administering. > Monitor neurologic status before and throughout therapy. >Institute seizure precaution. >Patellar reflex should be tested before administering,, if absent, administering no additional doses should be administered

 

University of Perpetual Help System of Laguna Dr. Jose G. Tamayo Medical University Sto. Niño, Biñan, Laguna

College of Nursing EMERGENCY MEDICATIONS Dosage:

until positive response is obtained. >Monitor intake and output ratios. Urine output should be maintained at a level of  at least 100ml/4hr.