Magnesium sulfate
What is the dose to be given through IV of Magnesium Sulfate?
4-6 grams over 20min (pg. 382)
what is the purpose of Calcium Gluconate
Calcium Gluconate is an antidote for magnesium sulfate toxicity
What route is Betamethasone given
IM
Administration of betamethasone to preterm babies supports the development of which organs?
What are the lungs?
what is the purpose of Magnesium Sulfate
In the OB setting, Magnesium Sulfate is used as a neuromuscular relaxant to stop contractions and prevent seizures (ATI, complications of labor and birth: preterm labor and birth)
what route is calcium gluconate given
IV
what is the dose of Betamethasone
Single course 12mg IM with a second dose in 24hrs. (pg. 534)
Forget gasoline! Use the foam form of this medication to start a blaze.
What is betamethasone?
name at least 3 things to look out for or monitor when giving a pt this medication
1) toxicity: respiratory depression
2) newborn manifestations of hypermagnesemia (ex. bradycardia, weak reflexes)
3) serum magnesium BUN and creatine levels
what is the dose of Calcium Gluconate
10mL IV over 10min (pg. 375)
Purpose of betamethasone
decreases likelihood of neonatal respiratory distress, necrotizing enterocolitis, intraventricular hemorrhage, and perinatal death in neonates born prematurely (pg. 536)
This chemical was historically used as an antidote for black widow spider envenomation in conjunction with muscle relaxants.
What is calcium gluconate
explain at least 2 side effects of this medication for the mother
flushing, warmth, headache, nystagmus, nausea, dry mouth, dysphoria, dizziness
A urine output below this number an hr may indicate magnesium toxicity
30mL/hr
What is one client teaching point for this medication
this medication may mask manifestations of infection (ATI)
This chemical was historically used as a treatment for lead poisoning prior to the development of chelation therapy.
What is magnesium sulfate
who should you not give this medication to
people with myasthenia gravis
explain at least 2 signs of magnesium toxicity besides low urine output
decreased or absent deep tendon reflexes, respirations below 12, confusion, respiratory arrest (pg. 384)
Explain at least 2 adverse effects of this medication
Arrythmias, fat embolism, hypertension, cardiomyopathy, meningitis, seizure, rash, hyperglycemia, hypokalemia, fluid retention, hypernatremia, and repetitive doing may cause fetal growth restriction (ATI, complications of labor and birth: preterm labor and birth)
what is another name for magnesium sulfate
Epsom salt was discovered in this area in 1618, after local cows refused to drink surface water from a nearby well.