magnesium sulphate protocol

Short notes about interesting topics
wesam
Member
Member
Posts: 16
Joined: 28 Jul 2015, 21:34
University: Shendi University
Degree (College): MBBS
Graduation Year: 2015
Plan \ Working On: Other
Working on (2): Other
Speciality: General Medicine
Job Title: SHO (Medical or Resident)
Work Place: AHMED GASSEM
Location: khartoum
Has thanked: 0
Been thanked: 0
Contact:

magnesium sulphate protocol

Unread post by wesam »

Concise Magnesium Sulphate Protocol

Indications:

 Eclampsia.
 Severe pre eclampsia.
Contraindications:
• Neuromuscular disease.
• Myasthenia Gravis.
• Renal failure/ impairment
• Cardiac disease.
Management:
 Insert an airway and commence O2 by mask.
 Institute an IV line and take blood for investigations.
 Abort the fit by IV 10-20 mg Diazepam.
 Insert Foley’s catheter
 Start an ECG monitoring.

Mg.Sulphate Administration:
 Loading dose:
Inject 10% Mg.Sulphate (2X20ml), which is equivalent to 4 Gms,
Intravenously over 3-5 minutes.
The loading dose always causes nausea, vomiting and flushing. This is
Why Maxolon10mg or phenergan 25mg is given i.v. The mother should
Be warned that these symptoms may occur. They are nor signs of
anaphylaxis


 Maintenance Dose:
Infuse Mg.Sulphate continuously at a rate of 1-2 Gms per hour for 24 hours.
Option 1: 1 Gm per hour:
Incorporate (5X20ml) 10% Mg Sulphate (=10Gms) in 400 ml Dextrose
5% in water. Infuse at a rate of 50 ml per hour.
Wesam
Post Reply

Return to “Notes”