MAGNESIUM SULFATE

DOSAGE INDICATIONS CONTRAINDICATIONS SIDE EFFECTS NURSING

RESPONSIBILITIES
(ADULTS) For Acute  It is contraindicated CNS: Reserve IV use
Parenteral nephritis with allergy to Weakness, in eclampsia for
nutrition: 8-24 (children) magnesium Dizziness, immediate life
mEq/day IV to control products; fainting, threatening
Mild Magnesium hypertension, heartblock, sweating (PO) situations.
Deficiency: I g myocardial damage, CV: Give IM route
For
IM or IV q 6 hr abdominal pain, Palpitations for deep IM
Hypomagnesemia
for 4 doses )32.5 nausea, vomiting or GI: Excessive injection of
(replacement
mEq/24 hr other symptoms of bowel activity, undiluted (50%)
therapy)
Severe appendicitis; acute Perianal sol’n for adults;
Hypomagnesemi For surgical abdomen,
Preeclampsia/ irritations. dilute to a 20%
a: Up to 2 fecal impaction, sol’n for
eclampsia Metabolic:
mEq/kg IM intestinal and children.
short-term Hypermagnese
within 4 hr o 5 g biliary duct
treatment for mia and Monitor serum
(40 mEq)/1000 obstruction,
constipation. toxicity in magnesium
mL D5W IV Hepatitis.
patients with levels during
infused over 3 Evacuation of the  Do not give during
renal failure. parenteral
hr. colon for rectal 2 hr preceding
therapy.
and bowel exams delivery because of
IM the risk of Monitor knee-
To correct or
Toxemia, magnesium toxicity jerk reflex
prevent
eclampsia, hypomagnesemia to the neonate Do not give
nephritis: 4-5 g  Use cautiously with magnesium
Treatment of renal imsufficiency
of a 50 solution sulfate to
Atypical --
of 4 hr as needed patient with
IV ventricular
abdominal pain,
arrhythmias(Tors
1-4 g of 10-20% nausea and
ades de pointes)
solution. Do not vomiting
exceed Adjunctive
Monitor bowel
therapy for the
function, If
treatment of acute
 1.5mL/min of a MI diarrhea and
10% solution. Or Inhibition of and cramping
4-5 g of a 250 premature labor occur,
mL of 5% Adjunct discontinue
dextrose. Do not usage.
treatment of
exceed exacerbations of
3mL/minute acute asthma.
PO
Laxative: 10-15
g PO Epsom salt
in glass of water

(PEDIATRICS)

Parenteral
nutrition(infants)
: 2-10 mEq/day
IV.
Antiepileptic:
20-40 mg/kg in a
20%
solution,IM,
Repeat as
needed.
Laxative: 5-10 g
PO Epsom salt in
a glass of water