logging in or signing up magnesium sulphate in obstetrics rrpalmer Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 457 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 14, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript MAGNESIUM SULPHATE : MAGNESIUM SULPHATE BY ROSEMARY PALMER RN, RM, BSc Hons (Sport science & administration), ADM ACTION : ACTION Magnesium is essential for functioning of many enzymes –neurotransmission & muscle excitability PRESENTATION & STORAGE : PRESENTATION & STORAGE 1 gram in 2 ml vial Store BELOW 25 oC INDICATIONS FOR USE : INDICATIONS FOR USE Treatment for eclampsia Prophylactic treatment for pre-eclampsia (proteinurc) Prophylactic treatment for imminent eclampsia Can also be used to stop contractions, for the treatment of Hypoxic Ischaemic Encephalopathy of neonates and nebulised for asthmatic treatment CONTRAINDICATIONS : CONTRAINDICATIONS Impaired renal function –excreted via urine Heart block or myocardium malfunction Liver damage SIDE EFFECTS : SIDE EFFECTS Rapid administration can lead to hypotension Facial flushing Nasal stuffiness Chest pain OVERDOSE EFFECTS : OVERDOSE EFFECTS Loss of tendon reflexes Respiratory Depression Drowsiness Cardiac arrythmia and cardiac arrest –rapid infusion requires ECG monitoring and anaesthetist. ANTIDOTE : ANTIDOTE Calcium Gluconate 10% slution ( 1 vial) 10ml IVI slowly DOSAGE : DOSAGE For imminent eclampsia/ pre-eclampsia / eclampsia DISTRICT: (because limited monitoring): 5g (10ml) IMI in each buttock and 4g (8ml) in 200ml NaCl to run over 15-20 minutes. (14g total) 2nd LEVEL: 6g IV slow bolus the 8g in 200ml NaCl via IVAC @ 54ml /hr (14g) Maintenance is 5g IMI alternate buttocks 4hourly x 24 hours. DO NOT GIVE ANY OTHER DRUG IV VIA SAME LINE FOR ECLAMPTIC CONVULSIONS : FOR ECLAMPTIC CONVULSIONS Give 4mg bolus (8ml) over 5-10 minutes then continue maintenance as above. Priority is to terminate convulsion. Mum comes first Depends on protocol in place . Mag Sulp does control convulsion so don’t give clonazepam unless very restless MONITORING : MONITORING Urine output >30ml per hour –if not can cause magnesium toxicity & renal damage and dosage needs reducing. Reflex monitoring, GCS monitoring For IV route must have ECG monitoring available You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
magnesium sulphate in obstetrics rrpalmer Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 457 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 14, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript MAGNESIUM SULPHATE : MAGNESIUM SULPHATE BY ROSEMARY PALMER RN, RM, BSc Hons (Sport science & administration), ADM ACTION : ACTION Magnesium is essential for functioning of many enzymes –neurotransmission & muscle excitability PRESENTATION & STORAGE : PRESENTATION & STORAGE 1 gram in 2 ml vial Store BELOW 25 oC INDICATIONS FOR USE : INDICATIONS FOR USE Treatment for eclampsia Prophylactic treatment for pre-eclampsia (proteinurc) Prophylactic treatment for imminent eclampsia Can also be used to stop contractions, for the treatment of Hypoxic Ischaemic Encephalopathy of neonates and nebulised for asthmatic treatment CONTRAINDICATIONS : CONTRAINDICATIONS Impaired renal function –excreted via urine Heart block or myocardium malfunction Liver damage SIDE EFFECTS : SIDE EFFECTS Rapid administration can lead to hypotension Facial flushing Nasal stuffiness Chest pain OVERDOSE EFFECTS : OVERDOSE EFFECTS Loss of tendon reflexes Respiratory Depression Drowsiness Cardiac arrythmia and cardiac arrest –rapid infusion requires ECG monitoring and anaesthetist. ANTIDOTE : ANTIDOTE Calcium Gluconate 10% slution ( 1 vial) 10ml IVI slowly DOSAGE : DOSAGE For imminent eclampsia/ pre-eclampsia / eclampsia DISTRICT: (because limited monitoring): 5g (10ml) IMI in each buttock and 4g (8ml) in 200ml NaCl to run over 15-20 minutes. (14g total) 2nd LEVEL: 6g IV slow bolus the 8g in 200ml NaCl via IVAC @ 54ml /hr (14g) Maintenance is 5g IMI alternate buttocks 4hourly x 24 hours. DO NOT GIVE ANY OTHER DRUG IV VIA SAME LINE FOR ECLAMPTIC CONVULSIONS : FOR ECLAMPTIC CONVULSIONS Give 4mg bolus (8ml) over 5-10 minutes then continue maintenance as above. Priority is to terminate convulsion. Mum comes first Depends on protocol in place . Mag Sulp does control convulsion so don’t give clonazepam unless very restless MONITORING : MONITORING Urine output >30ml per hour –if not can cause magnesium toxicity & renal damage and dosage needs reducing. Reflex monitoring, GCS monitoring For IV route must have ECG monitoring available