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Name of Drug General Action Specific Indication Contraindicatio Adverse Effects Nursing

Action n Responsibilities

magnesium Electrolyte Cofactor of - Acute nephritis, to - Contraindicated CNS: Weakness, - Reserve IV use in
eclampsia for immediate
sulfate Antiepileptic many enzyme control hypertension with allergy to dizziness, life-threatening situations
Laxative systems magnesium fainting, sweating
- Give IM route by deep IM
Pregnancy involved in - IV: Hypomagnesemia, products; heart (PO) injection of the undiluted
Category A neurochemical replacement therapy block, myocardial (50%) solution for adults;
transmission damage; CV: Palpitations dilute to at 20% solution for
children
Pregnancy and muscular - IV or IM: Preeclampsia abdominal pain,
Category B excitability; or eclampsia nausea, vomiting GI: Excessive - Monitor serum
magnesium levels during
(laxative) prevents or or other bowel activity, parenteral therapy.
controls - PO: Short-term symptoms of perianal irritation Arrange to discontinue
seizures by treatment of appendicitis; (PO) administration as soon as
levels are within normal
blocking constipation acute surgical limits (1.5-3 mEq/L) and
neuromuscula abdomen, fecal Metabolic: desired clinical response is
r - PO: Evacuation of the impaction, Magnesium obtained
transmission; colon for rectal and intestinal and intoxication, - Monitor knee-jerk reflex
attracts and bowel examinations biliary tract hypocalcema with before repeated parenteral
administration. If knee- jerk
retains water obstruction, tetany reflexes are suppressed, do
in the - To correct or prevent hepatitis. Do not not administer magnesium
intestinal hypomagnesemia in give during 2 hr because respiratory central
failure may occur
lumen and patients on parenteral preceding
distends the nutrition delivery because - Give oral magnesium
bowel to of risk of sulfate as a laxative only as
a temporary measure.
promote mass - Unlabeled use: magnesium Arrange for dietary
movement inhibition of premature toxicity in the measures, exercise, and
environmental control to
and relieve labor, adjunct neonate return to normal bowel
constipation treatment of activity
exacerbations of acute - Use cautiously
- Do not give oral
asthma; treatment with renal magnesium sulfate with
torsades de pointes, insufficiency abdominal pain, nausea or
atypical ventricular vomiting
arrhythmias - Monitor bowel function; if
diarrhea and cramping
occur, discontinue oral
- IV: Adjunctive therapy drug
for the treatment of
acute MI - Maintain urine output at a
level of 100 mL q4h
during parenteral
administration

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