APPENDIX I
MEDICATION ADMINISTRATION
Student Name: __________Erin Nowlin_______________
Client Allergies: _
DRUG
Generic:
Magnesium
hydroxide
Brand:
Milk of
Magnesia
NKDA
DOSAGE
ROUTE &
FREQUENCY
Client:
30 mL by mouth
every 12 hours as
needed for
constipation
Client Initial: ___WMH ________
FLUID
TYPE
Primary:
O2 Sat
Pharmacologic
Classification:
PURPOSE OF
DRUG
(Indication)
Specific to the
Client:
constipation
_ Isotonic
_ Hypotonic
_ Hypertonic
Secondary:
30-60 mL by mouth
daily
CLASSIFI
CATION
Magnesium salt
Usual:
Onset: 30
min-3 hr
Peak:
variable
Duration:
variable
Date of Care: _____04/21/2011__________
Usual:
Action (patho):
Saline laxative that
produces an osmotic
effect in the small
intestine by drawing
water into the
intestinal lumen.
Constipation
To evacuate
bowel preop
V/S to assess
before admin.
Assess all VS
MAJOR
NURSING
IMPLICATIONS
MATH
CALCULATIONS
Adverse Reactions (2):
GI: abdominal cramping,
diarrhea, nausea
Metabolic: fluid and
electrolyte imbalance
gtt/min:
Interactions: (2)
Oral drugts: may impair
absorption. Separate
doses
mL/hr:
Effects on Labs: (2)
May alter fluid and
electrolyte levels with
prolonged use.
Push rate:
Dilution:
Labs to assess
before admin.
electrolytes
Nursing
Considerations (2):
Before giving drug for
constipation, determine
whether patient has
adequate fluid intake,
exercise, and diet.
Drug is recommended for
(Must Show all math)
short-term use only
Client Teaching(1):
Warn patient that frequent
or prolonged use as a
laxative may cause
dependence.
Antidote:
None listed.
Black Box Warning:
None listed
Remember Pain is the 5th V/S
References: Kluwer, W. (2011) Nursing 2011 drug handbook (31st ed.). Ambler,Pennsylvania:Lippincott Williams&Wilkins