Magnesium Sulfate

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Tarang Patel
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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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Concepts Covered:

  • Documentation and Communication
  • Legal and Ethical Issues
  • Perioperative Nursing Roles
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Intraoperative Nursing
  • Microbiology
  • Communication
  • Fundamentals of Emergency Nursing
  • Preoperative Nursing
  • Basics of NCLEX
  • Medication Administration
  • Vascular Disorders
  • Upper GI Disorders
  • Urinary Disorders
  • Renal Disorders
  • Central Nervous System Disorders – Brain
  • Studying
  • Emergency Care of the Neurological Patient
  • Postpartum Complications
  • Liver & Gallbladder Disorders
  • Factors Influencing Community Health
  • Community Health Overview
  • Immunological Disorders
  • Integumentary Disorders
  • Male Reproductive Disorders
  • Pregnancy Risks
  • Prioritization
  • Childhood Growth and Development
  • Musculoskeletal Trauma
  • Terminology
  • Respiratory Disorders
  • Cognitive Disorders
  • Adulthood Growth and Development
  • EENT Disorders
  • Concepts of Population Health
  • Basic
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Tissues and Glands
  • Emergency Care of the Trauma Patient
  • Cardiovascular
  • Lower GI Disorders
  • Circulatory System

Study Plan Lessons

The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Atenolol (Tenormin) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Atrial Fibrillation (A Fib)
Interventional Radiology
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Renal Calculi for Certified Emergency Nursing (CEN)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Assessment
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Meds for Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Restraints
Sexual Assault and Battery for Certified Emergency Nursing (CEN)
Forensic Nurse
Antimicrobial Vaccinations
Hb (Hepatitis) Vaccine
Sucralfate (Carafate) Nursing Considerations
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Gastrointestinal (GI) Bleed Concept Map
Oral Medications
Intubation in the OR
Access to Care
Community Health Nursing Theories
Health Promotion Model
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension for Certified Emergency Nursing (CEN)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
AIDS Case Study (45 min)
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Bed Bath
Nursing Care Plan for Testicular Torsion
Nursing Care and Pathophysiology for Testicular Torsion
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Protein (PROT) Lab Values
Magnesium Sulfate
Safety Checks
Legalities of Charting
Nursing Skills (Clinical) Safety Video
Prioritization
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Advance Directives
Mechanisms of Antimicrobial Agents
Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)
Cefdinir (Omnicef) Nursing Considerations
Growth & Development – Infants
Nursing Care Plan for Amputation
Amputation
Amputation for Certified Emergency Nursing (CEN)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Urinary Retention for Certified Emergency Nursing (CEN)
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
Radiation Safety for Nurses
Legal Considerations
Fall and Injury Prevention
Diagnostics Terminology
Procedural Terminology
Diagnostic Testing Course Introduction
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Needle Safety
Nursing Care Plan (NCP) for Incompetent Cervix
Incompetent Cervix
Pediatric Bronchiolitis Labs
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Nursing Care and Pathophysiology for Cholecystitis
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Dementia
Dementia and Alzheimers
Pain Management for the Older Adult – Live Tutoring Archive
Growth & Development – Late Adulthood
Geriatric: IV Insertion
Cataracts
Communicable Diseases
CPR-BLS (Basic Life Support)
Brief CPR (Cardiopulmonary Resuscitation) Overview
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
The Customer Voice
Patient Education
Advocating For Your Patient
IV Infusions (Solutions)
Tips & Advice for Pediatric IV
Tattoos IV Insertion
Trauma Survey
Head Trauma & Traumatic Brain Injury
Nursing Case Study for Head Injury
Myocardial Infarction Nursing Mnemonic (MONATAS)
Streptokinase (Streptase) Nursing Considerations
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)
C. Difficile for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Urinary Tract Infection Case Study (45 min)
Phenazopyridine (Pyridium) Nursing Considerations
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Drawing Blood
Order of Lab Draws
Drawing Blood from the IV