What is the primary indication for the administration of magnesium sulfate?
What is the primary indication for the administration of magnesium sulfate to the patient with severe preeclampsia? Magnesium works on the central nervous system and prevents eclamptic seizures in the patient with severe preeclampsia.
What are the side effects of magnesium sulfate in nursing?
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.
Does intravenous magnesium sulfate infusion reduce mechanical ventilation support in acute severe asthma?
Intravenous infusion of magnesium sulfate during the first hour of hospitalization in patients with acute severe asthma significantly reduced the percentage of children who required mechanical ventilation support.
What is a positive a positive finding on a magnesium sulfate test?
A positive finding is the rapid, jerky contraction of the ankle and foot in response to the dorsiflexion performed by the nurse. What is the therapeutic blood level for a patient receiving an IV infusion of magnesium sulfate?
What is the primary indication for the administration of magnesium sulfate to the patient with severe preeclampsia?
Hyperreflexia was the main indication to start magnesium sulphate treatment (75%).
What is the therapeutic blood level for a patient receiving an IV infusion of magnesium sulfate?
The range of serum magnesium levels considered therapeutic (4–7 mEq/L) was achieved by only 5 patients submitted to the 2-gram/hour regimen. On the other hand, these levels were not achieved by any of the patients randomized to the 1-gram/hour regimen.
Which of the following is the best description of the pathophysiology of preeclampsia Vsim?
Which of the following is the best description of the presentation of preeclampsia? Hypertension with proteinuria, which develops after 20 weeks' gestation. Rationale: Preeclampsia is a disorder of the second half of pregnancy. It is characterized by the presence of pregnancy-related hypertension and proteinuria.
What should you assess when giving magnesium sulfate?
Monitor for signs and symptoms of magnesium sulfate toxicity (ie. hypotension, areflexia (loss of DTRs), respiratory depression, respiratory arrest, oliguria, shortness of breath, chest pains, slurred speech, hypothermia, confusion, circulatory collapse).
What are the nursing responsibilities when administering magnesium sulfate?
Nursing Implications:Drug Interactions:Drug Incompatibilities:Check serum magnesium level prior to administration.Cardiac monitor should be used on patients receiving MgSO4 intravenously.Have injectable form of calcium gluconate available to reverse paralyzing effects of magnesium sulfate.More items...
Which would the nurse implement before administering magnesium sulfate to a client with preeclampsia?
Before starting mag sulfate, a BUN and creatinine should be drawn to assess renal function. Magnesium toxicity is dangerous and can cause severe complications, such as renal failure or death. The RN must perform proper assessments, which include checking for headache, visual changes, altered level of consciousness.
Which of the following findings indicates magnesium toxicity and requires to notify the physician?
Which finding below indicates Magnesium Sulfate toxicity and requires you to notify the physician? The answer is E. The nurse should monitor for Magnesium Sulfate toxicity.
When administering magnesium sulfate to a client with preeclampsia the nurse understands that this drug is given to do which of the following?
As soon as eclampsia is diagnosed, magnesium sulfate must be given to prevent seizures from recurring. If patients have preeclampsia with severe features, magnesium sulfate can be given to prevent seizures. Magnesium sulfate is given for 24 hours postpartum.
What is the most commonly used drug for preterm labor?
But for the majority of women, preterm labor stops on its own. In the United States, magnesium sulfate has become the most commonly used drug for treating preterm labor.
Is magnesium sulfate bad for you?
Women often say they feel wiped out, as though they have the flu. These side effects can be uncomfortable, but they are not dangerous.
Does magnesium sulfate relax uterine muscles?
Doctors do not know exactly how magnesium sulfate inhibits contractions. The most common explanation is that magnesium lowers calcium levels in uterine muscle cells. Since calcium is necessary for muscle cells to contract, this is thought to relax the uterine muscle.
Does magnesium sulfate slow contractions?
Magnesium sulfate is often quite effective in slowing contractions, although this effect and how long it lasts varies from woman to woman. Like all tocolytic medications, however, magnesium sulfate does not consistently prevent or delay preterm delivery for a significant period of time.
Does magnesium sulfate cause listless babies?
Since magnesium sulfate relaxes most muscles, babies who have been exposed to magnesium for an extended period of time may be listless or floppy at birth. This effect typically goes away as the drug clears from the baby’s system.
What is magnesium sulfate used for?
In the context of magnesium sulfate use, these techniques are particularly useful—. For communicating a sense of urgency when requesting other unit personnel and provider for help responding to sudden changes in maternal or fetal status (e.g., seizure, magnesium toxicity, fetal distress).
What to do if you are depressed during respiration?
If respiration is depressed, administering oxygen by face mask and administering calcium gluconate to antagonize the effects of excessive magnesium levels. If respiration is arrested, supporting ventilation with bag-valve-mask, administering calcium gluconate, and activating request for advanced airway support.
Is magnesium needed for renal function?
However, regular, routine serum levels may be useful for patients with impaired renal function. Use maternal and fetal parameters for provider notification.
Is stimulating the fetus an effective intervention?
The FHR is at the low end of normal, but the cause of any impending fetal distress is the mother's poor oxygenation status; therefore, stimulating the fetus is not an effective intervention. The nurse knows to implement seizure precautions for Ms. Jones because of her severe preeclampsia.
Does magnesium help with preeclampsia?
b) Preventing eclamptic seizures. Magnesium works on the central nervous system and prevents eclamptic seizures in the patient with severe preeclampsia. Sometimes magnesium is used as a tocolytic agent in patients with pre-term labor, but that is not the indication in this situation.