Drug Study Wengel
Drug Study Wengel
Drug Study Wengel
Indication and Contraindication Dosage and Special Adverse Reaction Mechanism of Drug Nursing
Usage Administration Precaution Action Interaction Responsibilitie
Generic ECG monitoring,
name: Convulsions Magnesium When barbiturates, Circulatory Depresses CNS, Flushing vital signs, deep
Hypomagnesem sulfate Intramuscular: Adult narcotics, or other collapse blocks peripheral tendon reflexes;
Magnesium ia (magnesium s and older children: hypnotics (or Respiratory neuromuscular Sweating magnesium
sulfate Tetany, uterine sulfate For severe systemic paralysis transmission, concentrations if
(magnesium hypomagnesemia, 1 anesthetics) are to Hypothermia produces sharply frequent or
sulfate injection) to 5 g (2 to 10 ml of be given in Pulmonary anticonvulsant lowered prolonged dosing
injection) should 50% solution) daily conjunction with edema effects; blood required
Brand not be in divided doses; magnesium, their Depressed decreases pressure particularly in
name: administered administration is dosage should be reflexes amount of patients with ren
MgSO4 parenterally in repeated daily until adjusted with Hypotension acetylcholine hypothermi dysfunction,
patients serum levels have caution because of Flushing released at end- a calcium, and
with heart returned to normal. If the additive central plate by motor potassium
Drowsiness
block or deficiency is not depressive effects nerve impulse stupor and concentrations;
Depressed
myocardial severe, 1 g (2 mL of of magnesium. Slows rate of SA ultimately renal function
cardiac
Drug damage. 50% solution) can node impulse
function
Classificatio be given once or formation in respiratory Obstetrics: Patie
n: Diaphoresis myocardium and depression.
twice daily. Serum status including
Hypocalcemia prolongs
magnesium levels vital signs, oxyge
should serve as a Hypophosphat conduction time saturation,
guide to continued emia Promotes respiration, deep
dosage. Hyperkalemia movement of tendon reflexes,
Visual calcium, level of
Intravenous: 1 to 4 g changes potassium, and consciousness,
magnesium sulfate sodium in and out fetal heart rate,
(magnesium sulfate of cells and maternal uterine
(magnesium sulfate stabilizes activity, renal
injection) injection) excitable function. Monitor
may be given membranes magnesium
intravenously in 10% Promotes osmotic concentrations
to 20% solution, but retention of fluid every 4 hours in
only with great in colon, causing patients with ren
caution; the rate distention and dysfunction (eve
should not exceed increased 2 hours if serum
1.5 mL of 10% peristaltic activity, magnesium is >8
solution or which mEq/L (ACOG 2
equivalent per subsequently 2019).
minute until results in bowel
relaxation is evacuation
obtained.
Intravenous
Infusion: 4 g in 250
mL of 5% Dextrose
Injection at a rate
not exceeding 3 mL
per minute.
Usual Dose
Range: 1 to 40 g
daily.
Electrolyte
Replenisher: Intramu
scular 1 to 2 g in
50% solution four
times a day until
serum magnesium is
within normal limits.
Usual Pediatric
Dose: Intramuscular
20 to 40 mg per kg
of body weight in a
20% solution
repeated as
necessary.
For
Eclampsia: Initially 1
to 2 g in 25% or 50%
solution is given
intramuscularly.
Subsequently, 1 g is
given every 30
minutes until relief is
obtained. The blood
pressure should be
monitored after each
injection.