Magnesium Sulfate

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Tarang Patel
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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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Sep 8 to Oct 31 Pharmacology

Concepts Covered:

  • Test Taking Strategies
  • Prefixes
  • Suffixes
  • Cardiac Disorders
  • Adult
  • Medication Administration
  • Hematologic Disorders
  • Intraoperative Nursing
  • Pregnancy Risks
  • Microbiology
  • Respiratory Disorders
  • Disorders of Pancreas
  • Oncology Disorders
  • Personality Disorders
  • Nervous System
  • Emergency Care of the Cardiac Patient
  • Substance Abuse Disorders
  • Cardiovascular Disorders
  • Basics of Chemistry
  • Newborn Care
  • Liver & Gallbladder Disorders
  • Upper GI Disorders
  • Vascular Disorders
  • Lower GI Disorders
  • Labor Complications
  • Depressive Disorders
  • Postpartum Complications
  • Central Nervous System Disorders – Brain
  • Learning Pharmacology
  • Disorders of the Thyroid & Parathyroid Glands
  • Integumentary Disorders
  • Prenatal Concepts
  • Urinary Disorders
  • Concepts of Pharmacology
  • Terminology
  • Labor and Delivery
  • Emergency Care of the Respiratory Patient
  • Anxiety Disorders
  • Studying
  • Multisystem
  • Disorders of the Posterior Pituitary Gland

Study Plan Lessons

12 Points to Answering Pharmacology Questions
54 Common Medication Prefixes and Suffixes
ACE (angiotensin-converting enzyme) Inhibitors
ACLS (Advanced cardiac life support) Drugs
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Anemia for Progressive Care Certified Nurse (PCCN)
Anesthetic Agents
Anesthetic Agents
Angiotensin Receptor Blockers
Anti-Infective – Aminoglycosides
Anti-Infective – Antifungals
Anti-Infective – Penicillins and Cephalosporins
Antidiabetic Agents
Antineoplastics
Atypical Antipsychotics
Autonomic Nervous System (ANS)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Benzodiazepines
Calcium Channel Blockers
Cardiac Glycosides
Cardiopulmonary Arrest
Chemistry Course Introduction
Coronary Artery Disease Concept Map
Corticosteroids
CRNA
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Epoetin Alfa
Eye Prophylaxis for Newborn
Eye Prophylaxis for Newborn (Erythromycin)
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Insulin
Interactive Pharmacology Practice
Ischemic Bowel for Progressive Care Certified Nurse (PCCN)
Lung Surfactant
Lung Surfactant for Newborns
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
MAOIs
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Migraines
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
NSAIDs
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Opioid Analgesics
Opioid Analgesics in Pregnancy
Parasympatholytics (Anticholinergics) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Pharmacology Course Introduction
Pharmacology Terminology
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Prostaglandins
Prostaglandins in Pregnancy
Proton Pump Inhibitors
Psychiatry Terminology
Rapid Sequence Intubation
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
SSRIs
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
TCAs
Tenet 3 Why Behind the What
Tension and Cluster Headaches
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Tocolytics
Tocolytics
Toxic Ingestion, Inhalation, Overdose for Progressive Care Certified Nurse (PCCN)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
Vascular Disease for Progressive Care Certified Nurse (PCCN)
Vasopressin
Why CEs (Continuing education) matter