Question: Why Is Magnesium Sulfate A High Risk Medication?

Why is magnesium sulfate a high alert medication?

Magnesium sulfate is on the Institute of Safe Medication Practices (ISMP) “List of High-Alert Medications” because there is serious risk of causing significant patient harm when used in error..

What medication do you give for magnesium toxicity?

Calcium gluconate is the antidote for Magnesium Sulfate toxicity. If ordered, administer Calcium Gluconate 10%, IV Push, 10 ml over 3 minutes. The signs of Magnesium Sulfate toxicity include: a) Absent DTRs.

Is oxytocin a high alert medication?

Oxytocin is a high-alert medication. Oxytocin is commonly used on L&D units, but administration procedures vary greatly because of lack of standardization, local culture, and individual provider training and preferences. Inappropriate use of oxytocin is one of the top areas of preventable perinatal harm.

Why do doctors give magnesium?

Magnesium helps maintain a normal heart rhythm and doctors sometimes administer it intravenously (IV) in the hospital to reduce the chance of atrial fibrillation and cardiac arrhythmia (irregular heartbeat). People with congestive heart failure (CHF) are often at risk for developing cardiac arrhythmia.

Is magnesium sulfate healthy?

While Epsom salt is generally safe, there are a few negative effects that can occur if you use it incorrectly. This is only a concern when you take it by mouth. First of all, the magnesium sulfate in it can have a laxative effect. Consuming it may result in diarrhea, bloating, or upset stomach.

What are the toxicity symptoms of magnesium?

Symptoms of magnesium toxicity, which usually develop after serum concentrations exceed 1.74–2.61 mmol/L, can include hypotension, nausea, vomiting, facial flushing, retention of urine, ileus, depression, and lethargy before progressing to muscle weakness, difficulty breathing, extreme hypotension, irregular heartbeat, …

Why is magnesium sulfate given?

Magnesium sulfate injection is a naturally occurring mineral used to control low blood levels of magnesium. Magnesium sulfate injection is also used for pediatric acute nephritis and to prevent seizures in severe pre-eclampsia, eclampsia, or toxemia of pregnancy.

What are the hazards of magnesium sulfate?

Thermal decomposition of Magnesium Sulfate Heptahydrate produces irritating vapors and toxic gases (e.g. sulfur oxides). Emergency responders should wear proper personal protective equipment for the releases to which they are responding. Caution! May cause irritation to eyes, skin, and respiratory system.

What are the top 5 high alert medications?

The five high-alert medications are insulin, opiates and narcotics, injectable potassium chloride (or phosphate) concentrate, intravenous anticoagulants (heparin), and sodium chloride solutions above 0.9%.

What is the first sign of magnesium sulfate toxicity?

The first sign of magnesium toxicity is usually the loss of tendon (patella) reflexes. This occurs with plasma levels > 5 mmoVL, with respiratory depression occurring at levels > 6 mmol/L26.

When should I stop taking magnesium sulfate?

Magnesium sulfate 4-g to 6-g loading dose diluted in 100 mL fluid administered intravenously over 15 minutes, followed by continuous intravenous infusion at 1 to 2 g per hour. Discontinue 24 hours after delivery or last seizure.

What should I check before giving magnesium sulfate?

An independent double check of the drug, concentration, infusion rate, pump settings, line attachment, and patient should be required before IV magnesium sulfate is administered. Point-of-care bar-code systems can also be used to verify the drug, strength, and patient.