ACTIVE LEARNING TEMPLATE: Medication Abigail Foley STUDENT NAME______________________________________ Magnesium Sulfate MEDICATION___________________________________________________________________________ pg. 827 Davis's Drug Guide REVIEW MODULE CHAPTER____________ CATEGORY CLASS__minerals/electrolytes _____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Essential for the activity of many enzymes. Plays an important role in neurotransmission and muscular excitability (Vallerand & Sanoski, 2022). Therapeutic Use Replacement in deficiency states. Resolution of eclampsia. Treatment/prevention of hypomagnesemia. Prevention and treatment of seizures associated with severe eclampsia or pre-eclampsia. Unlabeled Use: Treatment of torsades de pointes. Adjunctive treatment for bronchodilation in moderate to severe acute asthma (Vallerand & Sanoski, 2022). Complications Medication Administration Drowsiness, decrease respiratory rate, arrhythmias, bradycardia, hypotension, diarrhea, muscle weakness, flushing, sweating, or hypothermia (Vallerand & Sanoski, 2022). IV, IM (Vallerand & Sanoski, 2022). Contraindications/Precautions Hypermagnesmia, hypocalcemia, anuria, heart block, use for more than 5-7 days in preterm labor, continuous use during active labor or within 2 hours of delivery, renal insufficiency, geriatric (may require lower dose) (Vallerand & Sanoski, 2022). Nursing Interventions Monitor vitals, ECG, patellar reflex, and neuro status. Implement seizure precautions (Vallerand & Sanoski, 2022). Interactions May potentiate calcium channel blockers and neuromuscular blocking agents (Vallerand & Sanoski, 2022). Client Education Evaluation of Medication Effectiveness Normal serum magnesium concentrations and control of seizures associated with toxemias of pregnancy (Vallerand & Sanoski, 2022). ACTIVE LEARNING TEMPLATES Explain purpose of medication and report worsening S/S (Vallerand & Sanoski, 2022).