Magnesium Sulfate

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Tarang Patel
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Preeclampsia Pathochart (Cheatsheet)
140 Must Know Meds (Book)
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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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S25 Week 3 Study Plan (Hematology, Oncology, Skin, MS, Sensory, Mental Health, Pharm)

Concepts Covered:

  • Test Taking Strategies
  • EENT Disorders
  • Prefixes
  • Suffixes
  • Disorders of the Adrenal Gland
  • Integumentary Disorders
  • Bipolar Disorders
  • Disorders of the Posterior Pituitary Gland
  • Hematologic Disorders
  • Immunological Disorders
  • Medication Administration
  • Musculoskeletal Disorders
  • Labor Complications
  • Musculoskeletal Trauma
  • Disorders of the Thyroid & Parathyroid Glands
  • Integumentary Important Points
  • Learning Pharmacology
  • Anxiety Disorders
  • Disorders of Pancreas
  • Trauma-Stress Disorders
  • Oncology Disorders
  • Somatoform Disorders
  • Dosage Calculations
  • Depressive Disorders
  • Personality Disorders
  • Cognitive Disorders
  • Eating Disorders
  • Substance Abuse Disorders
  • Psychological Emergencies
  • Liver & Gallbladder Disorders
  • Upper GI Disorders
  • Urinary System
  • Cardiac Disorders
  • Cardiovascular Disorders
  • Female Reproductive Disorders
  • Neurologic and Cognitive Disorders
  • Shock
  • Respiratory Disorders
  • Nervous System
  • Urinary Disorders
  • Pregnancy Risks
  • Psychotic Disorders

Study Plan Lessons

12 Points to Answering Pharmacology Questions
Glaucoma
Glaucoma
54 Common Medication Prefixes and Suffixes
Addisons Disease
Burn Injuries
Burn Injuries
Cataracts
Cataracts
Nursing Care and Pathophysiology for Cushings Syndrome
Macular Degeneration
Macular Degeneration
Pressure Ulcers/Pressure injuries (Braden scale)
Pressure Ulcers/Pressure injuries (Braden scale)
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Essential NCLEX Meds by Class
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
6 Rights of Medication Administration
Hearing Loss
Hearing Loss
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Osteoporosis
Thrombocytopenia
Blood Transfusions (Administration)
Fractures
Fractures
Nursing Care and Pathophysiology for Hyperthyroidism
Integumentary (Skin) Important Points
Integumentary (Skin) Important Points
Nursing Care and Pathophysiology for Hypothyroidism
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Anxiety
Basics of Calculations
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Generalized Anxiety Disorder
Leukemia
Diabetes Management
Lymphoma
Oral Medications
Post-Traumatic Stress Disorder (PTSD)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Injectable Medications
Oncology Important Points
Somatoform
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Mood Disorders (Bipolar)
Depression
Paranoid Disorders
Personality Disorders
Cognitive Impairment Disorders
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Alcohol Withdrawal (Addiction)
Grief and Loss
Suicidal Behavior
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Benzodiazepines
MAOIs
SSRIs
TCAs
Insulin
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
Renin Angiotensin Aldosterone System
ACE (angiotensin-converting enzyme) Inhibitors
Angiotensin Receptor Blockers
Calcium Channel Blockers
Cardiac Glycosides
Metronidazole (Flagyl) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Atypical Antipsychotics
Autonomic Nervous System (ANS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Parasympathomimetics (Cholinergics) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Epoetin Alfa
HMG-CoA Reductase Inhibitors (Statins)
Magnesium Sulfate
NSAIDs
Corticosteroids
Hydralazine (Apresoline) Nursing Considerations
Nitro Compounds
Vasopressin
Dissociative Disorders
Proton Pump Inhibitors
Schizophrenia
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)