Magnesium Sulfate

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Tarang Patel
DNP-NA,RN,CCRN, RPh
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Preeclampsia Pathochart (Cheatsheet)
140 Must Know Meds (Book)
Magnesium Sulfate (Picmonic)
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Outline

Overview

  1. Magnesium Sulfate
    1. Indications
      1. Treat hypomagnesemia
        1. Normal range 1.5-2.5
      2. Torsade de point
        1. Lethal arrhythmia caused by low Mg level- Code Blue!
      3. Preeclampsia
      4. Control seizures in pregnant women
      5. Maintain magnesium levels for patients receiving TPN
      6. Acute Asthma Exacerbations
        1. When patient is not responding to other treatments – usually last resort

Nursing Care

Assessment

  1. Look for signs of Hyper magnesemia (toxicities = side effects of getting too much magnesium)
    1. Low bp
    2. Confusion
    3. Irregular heart beat
    4. Dizziness
    5. Muscle weakness
    6. Increase bleeding time
    7. Diarrhoea
    8. Depressed reflexes
    9. Resp distress (very rare usually level >3)

Therapeutic Management

  1. Monitor magnesium levels closely
  2. Monitor kidney function
  3. Monitor vital signs frequently when giving Magnesium via IV
    1. Looking for signs of respiratory depression and irregular heart rythms

Nursing Concepts

  1. Pharmacology
    1. Magensium is a medication that may be prescribed for a variety of conditions in a hospital setting and requires close monitoring for toxicities.

Patient Education

  1. Patients should be instructed to only take magnesium supplements under instructions of a provider.
  2. Patient should monitor for signs of hypermagnesemia and instructed to contact their provider if they experience heart arrhythmias and changes in respiratory patterns.

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Transcript

Hey guys, let’s talk about magnesium sulfate also known as mgs oh four. This is an injectable medication, as you can see here, and it also can be given orally. Okay guys, remember when we are talking about therapeutic class of a drug, we are talking about how it works in the body and for magnesium sulfate, this is a mineral and electrolyte replacement or supplement and for the pharmacologic class or the chemical effect of the drug for magnesium sulfate, this is a mineral and electrolyte. So how does magnesium work? Well, magnesium plays a role in muscle. That’s my muscle excitability. We use magnesium sulfate for the treatment of hypomagnesemia hypertension, preterm labor for SOS asthma, and as an anti convulsant with eclampsia. Some of the side effects that we see with magnesium sulfate are things like hypotension, muscle weakness, arrhythmias, and a decrease respiratory rate.

Let’s take a look at a few of the nursing considerations for magnesium sulfate. Be sure to monitor your patient’s EKG, the rest respiratory rate, as well as of course, their magnesium levels use caution in patients who have renal insufficiency when administering magnesium sulfate, be sure that you are checking the dose with a secondary practitioner with IV doses. The antidote for magnesium sulfate is calcium glute. So that is important in the event of an overdose. And it is important that the patient knows that magnesium toxicity can occur. And with this, we see things like respiratory depression, as well as a loss of deep tendon reflexes and decrease cardiac output. When used orally magnesium sulfate, it can interact with fluroquinolone. So you need to know that. So with these drugs, they should be separated if each are oral, but if one is given by IV and the other, not, then this interaction is not an issue It for magnesium sulfate or mgs oh four. Now go out and be your best self today. And as always happy nursing.

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Pharmacology for the NCLEX®

The Pharmacology Course is a one-stop-shop for all things medication related! Did you know that nearly 15% of the questions on the NCLEX® are pharmacology related!? We’ll talk you through how to be successful in pharmacology and how to be safe when administering meds. We break down the most common and most important medication classes into easy-to-understand sections. We even walk you through how to conquer the often intimidating med math and drug calculations! When you finish this course, you’ll be able to show on the NCLEX® that you can confidently and safely administer medications to your patients!

Course Lessons

Pharmacology for the NCLEX®
12 Points to Answering Pharmacology Questions
54 Common Medication Prefixes and Suffixes
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Essential NCLEX Meds by Class
6 Rights of Medication Administration
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Oral Medications
Injectable Medications
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Renin Angiotensin Aldosterone System
ACE (angiotensin-converting enzyme) Inhibitors
Angiotensin Receptor Blockers
Atypical Antipsychotics
Autonomic Nervous System (ANS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Parasympathomimetics (Cholinergics) Nursing Considerations
Benzodiazepines
Calcium Channel Blockers
Cardiac Glycosides
Corticosteroids
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Epoetin Alfa
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine (Apresoline) Nursing Considerations
Insulin
Magnesium Sulfate
MAOIs
Nitro Compounds
NSAIDs
Parasympatholytics (Anticholinergics) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Metronidazole (Flagyl) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Proton Pump Inhibitors
SSRIs
TCAs
Vasopressin