2015 Trumbull Memorial Hospital Demo

Magnesium Sulfate Magnesium Sulfate

Action

Onset

Electrolyte Anticonvulsant Calcium Channel Blocker

Immediate

Indications Vfib / Pulseless Vtach Torsades de Pointes Pre-Eclampsia / Eclampsia Severe asthma unresponsive to other bronchodilators

Adult Dose Cardiac: 2 grams IVP/IO over 5-10 minutes. Pre-Eclampsia / Eclampsia: 2 grams IVP/IO over 5-10 minutes.

Pediatric Dose Not indicated.

Contraindications Heart block or myocardial damage, known hypersensitivity, dialysis patients

Adverse Reactions Flushing, sweating, hypotension, hypothermia, respiratory depression, hypocalcemia, circulatory collapse, cardiac depression, CNS depression Precautions Use caution on renal impairment patients because drug is solely removed by the kidneys. Clinical indications of a safe dosage regimen include the presence of the patellar reflex (knee jerk) and absence of respiratory depression. When barbiturates, narcotics, or other hypnotics are given in conjunction with magnesium, their dosage should be adjusted because of the additive central depressive effects. Use caution in patients receiving digitalis. Stop infusion if hypotension develops, difficulty breathing, decreased deep tendon reflexes, or paralysis.

Considerations Not compatible with sodium bicarbonate.

209

EMR

EMT

AEMT

Paramedic

Extended