GENERIC & MODE OF SIDE EFFECT/ NURSING
BRAND NAME CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE RESPONSIBILITIES
EFFECT
May To prevent or Parenteral CNS: If used to treat
acetylcholi control seizures administration Depressed seizures, take
ne released in preeclampsia contraindicated reflexes, appropriate
Magnesium Anticonvulsants by nerve or eclampsia. in patients with drowsiness, precautions.
impulses, heart block or flaccid Watch for
Sulfate Mineral but its Women: myocardial paralysis, respiratory
anticonvuls initially, 4g I.V in damage. hypothermia depression and
AVAILABLE Electrolyte ant 250ml D5W or Contraindicated signs and
FORMS: mechanism normal saline in patients with CV: symptoms of heart
Injection: Pregnancy risk is and 4-5g deep toxemia of Flushing, block.
4%,8%,10%,12.5%, category A unknown. I.M into each pregnancy hypotension, Keep I.V calcium
25%,50% Route: I.V buttock during 2hours bradycardia,c gluconate
Injection solution: Onset: 1- q4hrs,p.r.n. or, preceding irculatory available to
1% in D5W, 2min 4g I.V loading delivery. collapse,depr reverse
2%in D5W Peak: rapid dose;then 1-3g Use cautiously essed cardiac magnesium
Duration: hourly as I.v in patients with function intoxication, but
30min infusion. Total impaired renal use cautiously in
dose shouldn’t function EENT: digitalized patients
Route: I.M exceed 30 or Use cautiously Diplopia because of danger
Onset: 1hr 40g daily. in pregnant of arrhythmias.
Peak: women during Metabolic: Check magnesium
unknown Hypomag- labor Hypocalcemi level after
Duration: nesemia a repeated doses.
3-4hr Disappearance of
Adults: for mild Respiratory: knee-jerk and
deficiency,1g Respiratory patellar reflexes is
I.M. q6hrs for 4 paralysis sign of impending
doses;for severe magnesium
deficiency, 5g in Skin: toxicity.
1,000 ml D5W or Diaphoresis Signs of
NSS infused over hypermagnesemia
3hrs. begin to appear at
levels of 4 mEq/L
Seizures, HPN, Effective
and anticonvulsant
encephalopathy level ranges from
with acute 2.5 to 7.5 mEq/L.
nephritis in Monitor fluid
children intake and output.
Make sure urine
Children: 20-40 output is 100ml or
mg/kg I.M p.r.n more in 4-hour
to control period before each
seizures. Dilute dose.
the 50% Observe neonates
concentration to for signs of
a 20% solution magnesium
and give 0.1 to toxicity, including
0.2 ml/kg of the neuromascular or
20% soulution. respiratory
depression,when
To manage giving I.V form of
paroxysmal drug to toxemic
atrial mothers within
tachycardia 24hours before
delivery.
Adults: Don’t confuse
3-4g I.V over 30 magnesium sulfate
seconds, with with manganese
extereme sulfate.
caution.
PATIENT TEACHING:
To manage life-
threatening Inform patient of
ventricular short-term need
arrhythmias,suc for drug, answer
h as sustained any questions, and
ventricular address concerns.
tachycardia or Review potential
torasdes de adverse reactions
pointes and instruct
patient to
Adults: promptly report
1-6 g I.V over any occurrences.
several minutes; Reassure patient
then continues that, although
I.V infusion of 3- adverse reactions
20mg/minute can occur, vital
for 5-48hrs. signs, reflexes, and
Base dosage and drug level will be
duration of monitored
therapy on pt. frequently to
response and ensure safety.
magnesium
level.
To manage
preterm labor
Adults:
4-6 g I.V over 20
minutes,
followed, as
tolerated, after
contractions
have stopped.
GENERIC & MODE OF SIDE EFFECT/ NURSING
BRAND NAME CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE RESPONSIBILITIES
EFFECT
