Magnesium Sulfate

You're watching a preview. 300,000+ students are watching the full lesson.
Tarang Patel
DNP-NA,RN,CCRN, RPh
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz

Included In This Lesson

Study Tools For Magnesium Sulfate

Preeclampsia Pathochart (Cheatsheet)
140 Must Know Meds (Book)
Magnesium Sulfate (Picmonic)
NURSING.com students have a 99.25% NCLEX pass rate.

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.

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

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.

Study Faster with Full Video Transcripts

99.25% NCLEX Pass Rate vs 88.8% National Average

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Pharmacology

Concepts Covered:

  • Medication Administration
  • Adult
  • Emergency Care of the Cardiac Patient
  • Intraoperative Nursing
  • Microbiology
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Vascular Disorders
  • Nervous System
  • Upper GI Disorders
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Immunological Disorders
  • Fundamentals of Emergency Nursing
  • Dosage Calculations
  • Understanding Society
  • Circulatory System
  • Concepts of Pharmacology
  • Studying
  • Hematologic Disorders
  • Newborn Care
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Prenatal Concepts
  • Tissues and Glands
  • Test Taking Strategies

Study Plan Lessons

6 Rights of Medication Administration
ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anesthetic Agents
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Barbiturates
Bariatric: IV Insertion
Basics of Calculations
Benztropine (Cogentin) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Combative: IV Insertion
Complex Calculations (Dosage Calculations/Med Math)
Cyclosporine (Sandimmune) Nursing Considerations
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Epoetin Alfa
Eye Prophylaxis for Newborn
Fentanyl (Duragesic) Nursing Considerations
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Needle Safety
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Olanzapine (Zyprexa) Nursing Considerations
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pediatric Dosage Calculations
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Pharmacology Course Introduction
Phenobarbital (Luminal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
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
Tips & Tricks
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations
12 Points to Answering Pharmacology Questions