Checklist For Administrating Inj - Mgso4

DAKSHATA
Checklist for Administering Inj. MgSO4 for

Initial Management of Eclampsia
Cases
S. No Task
2 3 4
1
Wash hands thoroughly with soap and water and dry

1.
before and after the procedure
Keep ready 10 ampoules (20 ml=10 gms) of 50% Mg
2.
SO4
Prepares 2 syringes(10ml syringe and 22 gauze needle)
3.
with 5 g of 50% magnesium sulfate solution
4. Carefully cleans the injection site with an alcohol wipe.
5. Gives 5 g by DEEP IM injection in one buttock.
Disposes of used needle and syringe in a puncture proof
6.
box
Carefully cleans the injection site in the alternate buttock
7.
with an alcohol wipe.
8. Gives 5 g by DEEP IM injection into the other buttock.
Disposes of used needle and syringe in puncture proof
9.
box
10. Records drug administered
Key Points
If the woman is conscious, tell her that she may experience a feeling of warmth,
headache and vomiting when magnesium sulphate is given
Refer the woman to FRU, for further necessary action. Ensure to send a referral slip with
mention of 1st dose given.
Management with Intravenous and Intramuscular Dose
Cases
S. No. Task
1 2 3 4
Administering Loading Dose (IV+ IM ) of Magnesium Sulfate
Washes hands thoroughly with soap and water and air dry. Puts clean examination
1.
gloves on both hands.
Prepares magnesium sulfate 20% solution, 4 g .
2. (Take one 20ml sterile syringe, draw 4 ampoules of Mg So4 (8ml=4g) into the
syringe, add 12 ml of distilled water /normal saline for injection to make it 20%)
Gives magnesium sulfate 20% solution, 4 g by IV injection SLOWLY over 5
4.
minutes
5. Disposes of used needle and syringe in a sharps disposal box
Administering IM loading Dose of Magnesium Sulfate
Prepares 2 syringes(10ml syringe with 22 gauze needle) with 5 g of 50%
6.
magnesium sulfate solution with 1 mL of 2% Lignocaine in the same syringe
8. Gives 5 g by DEEP IM injection in one buttock.
10. Carefully cleans the injection site in the other buttock with an alcohol wipe.
11. Gives 5 g by DEEP IM injection into the other buttock.
13. Disposes of gloves in a 0.5% decontamination solution
14. Washes hands thoroughly with soap and water then air dry.
15. Records drug administration and findings on the woman’s record.
Administering IV Dose of Magnesium Sulfate for recurrent fits / convulsions
Washes hands thoroughly with soap and water and air dry. Puts clean exam gloves
16.
on both hands.
Prepares syringe with 2 g magnesium sulfate (50% solution)
17. Take one 10ml sterile syringe, draw 2 ampoules of Mg So4 50%(4ml=2g) into the
syringe add 6 ml of distilled water /normal saline
19. Gives magnesium sulfate 20% solution, 2 g by IV injection SLOWLY over 5
minutes
21. Disposes of gloves in a 0.5% decontamination solution
Washes hands thoroughly with soap and water and dries with a clean, dry cloth or
22.
air dry.
Maintenance dose of MgSo4
Washes hands thoroughly with soap and water and air dry. Puts clean exam gloves
23
on both hands.
Prepares 1 syringe(10ml syringe with 22 gauze needle) with 5 g of 50% magnesium
24
sulfate solution with 1 mL of 2% Lignocaine in the same syringe
25 Carefully cleans the injection site with an alcohol wipe.
26 Gives 5 g by DEEP IM injection every 4 hourly in alternate buttock.
Maintenance dose of MgSO4 to be continued till 24 hours after delivery or the last
27
convulsion whichever is later
28 Disposes of used needle and syringe in a sharps disposal box
29 Disposes of gloves in a 0.5% decontamination solution
Washes hands thoroughly with soap and water and dries with a clean, dry cloth or
30
air dry.
31 Records drug administration and findings on the woman’s record
Key Points
 If the woman is conscious, Tell her that she may experience a feeling of warmth when magnesium sulphate is
given
 PIH includes:
o Hypertension—systolic blood pressure of 140 mmHg or more and/or diastolic blood
pressure of 90 mmHg or more, on two consecutive readings taken four hours or more
apart
o Pre-eclampsia—hypertension with proteinuria
o Eclampsia—hypertension with proteinuria and convulsions
 Always check expiry dates before using any medications
 Replenish the drug immediately after using and store at the place which is easily accessible to all staffs
 DO NOT give next dose of Mg So4 if absent knee jerk or urinary output less than 100ml/4hours or respiratory
rate less than 16/min
 Signs of reaction: After receiving the injection, the woman may have flushing, may feel thirsty, get a headache,
feel nauseous or even vomit.
 Normal strength and availability: Magnesium Sulphate50% w/v, 1 g in each 2 ml ampoule
 Keep Inj.Calcium Gluconate, 10% ,10ml as an antidote

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DAKSHATA

Checklist for Administering Inj. MgSO4 for

Wash hands thoroughly with soap and water and dry

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