Magnesium Sulfate A
What is the antidote to Magnesium Sulfate?
1 gram of 10% calcium gluconate solution for injection
What is the duration of magnesium sulfate therapy for a Pre-term labor patient?
12-24 hours after contractions cease and/or after oral tocolytic therapy is started, per physician order.
What is the maintenance dose of magnesium sulfate?
2 grams of magnesium sulfate per hour
2.How is Magnesium sulfate administered?
2. controlled infusion pump with free-flow protection, IV piggyback into a primary IV line of D5LR or LR, according to the physician's order.
What is preparation of Magnesium sulfate for maintenance dose?
20 grams of magnesium sulfate, in 500 ml
When is verification needed by a second nurse?
3.A second registered nurse will verify the medication and infusion rate whenever magnesium sulfate therapy is instituted, whenever the dosage/rate is changed, and when a new bag of magnesium sulfate solution is hung; and will cosign the documentation to demonstrate the verification
What is the rate that a 4gm loading dose of Magnesium Sulfate should be delivered?
4 grams in 100 ml over 30 minutes. rate of 200 ml/h
What is the loading dose of Magnesium Sulfate?
4 grams of magnesium sulfate in 100 ml fluid for IVPB
What are the potential side effects of Magnesium Sulfate?
A.Burning at IV site B.Warm, flushed feeling C.Slurred speech D.Dizziness E.Headache F.Lethargy G.Nausea and vomiting
What is mag sulfate used for?
Magnesium sulfate is prescribed for short-term use (usually less than 48 hours) to prevent and treat seizures in pregnant patients with preeclampsia or eclampsia
What is nurse patient ratio for first hour of Mag Sulfate administration?
One to one nursing care during the first hour of magnesium sulfate therapy.
What is the duration of magnesium sulfate therapy for a Preeclampsia patient?
The infusion will be maintained during labor, delivery and recovery up to 24 hours postpartum, or as ordered by the physician.
What is hourly rate for 20 grams of Magnesium Sulfate in 500 ml IV fluid?
for 2 grams an hour the rate would be 50 ml/hr. Doasage and infusion rate must be verified by 2 nurses.
Where should patient be placed ideally?
quiet darkened room near the nurses station
4.What is required when the care of patient receiving magnesium sulfate therapy is transferred to another registered nurse?
review the written physician orders, the infusion pump settings for both the magnesium sulfate and the mainline IV fluids at the patient's bedside
What needs to be assessed prior to Magnesium Sulfate administration?
vital signs, breath sounds, DTR's, level of consciousness, urinary output, oxygen saturation, uterine activity and fetal heart rate pattern
