1. 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 For myocardial damage, CV: Give IM route
IM or IV q 6 hr Hypomagnesemia abdominal pain, Palpitations for deep IM
for 4 doses )32.5 (replacement nausea, vomiting or GI: Excessive injection of
mEq/24 hr therapy) other symptoms of bowel activity, undiluted (50%)
Severe For appendicitis; acute Perianal sol’n for adults;
Hypomagnesemi Preeclampsia/ surgical abdomen, irritations. dilute to a 20%
a: Up to 2 eclampsia fecal impaction, Metabolic: sol’n for
mEq/kg IM short-term intestinal and Hypermagnese children.
within 4 hr o 5 g treatment for biliary duct mia and Monitor serum
(40 mEq)/1000 constipation. obstruction, toxicity in magnesium
mL D5W IV Evacuation of the Hepatitis. patients with levels during
infused over 3 colon for rectal  Do not give during renal failure. parenteral
hr. and bowel exams 2 hr preceding therapy.
delivery because of Monitor knee-
To correct or
IM the risk of jerk reflex
prevent
Toxemia, magnesium toxicity Do not give
hypomagnesemia
eclampsia, to the neonate magnesium
Treatment of
nephritis: 4-5 g  Use cautiously with sulfate to
Atypical
of a 50 solution renal imsufficiency patient with
ventricular
of 4 hr as needed -- abdominal pain,
arrhythmias(Tors
IV ades de pointes) nausea and
1-4 g of 10-20% Adjunctive vomiting
solution. Do not therapy for the Monitor bowel
exceed treatment of acute function, If

2. 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 treatment of usage.
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