magnesium sulfate med card.pdf - ACTIVE LEARNING TEMPLATE...

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Unformatted text preview: ACTIVE LEARNING TEMPLATE: Medication Sabrina Becho SVN STUDENT NAME______________________________________ Magnesium Sulfate MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________ Category D CATEGORY CLASS__Pregnancy _____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Essential for the activity of many enzymes. Plays an important role in neurotransmission and muscular excitability. Therapeutic Use Replacement in deficiency states. resolution of eclampsia Complications Any degree of renal insuffciency; Geri May require low dosage due to age related low in renal function. Contraindications/Precautions Hypermagnesemia; Hypocalcemia ; Anuria; Heart block OB avoid using for more than 5-7 days for preterm labor (may increase risk of hypocalcemia and bone changes in newborn) ; avoid continuous use during active labor or within 2 hr of delivery due to potential for magnesium toxity in newborn. Interactions May potentiate calcium channel blockers and neuromuscular blocking agents Medication Administration iv, im Adults 4-5 g by IV infusion, concurrently with up to 5g IM in each buttock; then 4-5g IM q 4hr or 4 g by IV infusion followed by 1 -2 g/hr continuous infusion (not to exceed 40g/ day or 20 g/48 hr in the prensence of severe renal insufficiency). Nursing Interventions Hypomagnesemia/ Anticonvulsant: monitor pulse,BP, respiration , and ECG frequently throughout administration of parenteral magnesium sulfate. respirations should be at least 16/min before each dose monitor newborn for hypotension , hyporeflexia, and respiratory depression if mother has received magnesium sulfate. Client Education Evaluation of Medication Effectiveness Normal serum magnesium concentrations control of seizure associated with toxemias of pregnancy ACTIVE LEARNING TEMPLATES explain purpose of medication to patient and family ...
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