What Information Should Be Included In The Client And Family Teaching Of Magnesium Sulfate

After maximum inspiration, hold the breath for 15 seconds and. When teaching the patient about his new diagnosis, how should the nurse best describe a peptic ulcer? A) Inflammation of the lining of the stomach B) Erosion of the lining of the stomach or intestine C) Bleeding from the mucosa in the stomach D) Viral invasion of the stomach wall Ans: B Feedback: A peptic ulcer. The Philippine National Drug Formulary System and Family Planning Supplies. Get the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX-RN ® examination. Which information should the nurse provide the client about this fiding? B. They may be used to treat these symptoms in patients with peptic ulcer, gastritis, esophagitis, hiatal hernia, or too much acid in the stomach (gastric hyperacidity). The nurse caring for this client says to another nurse, "She really doesn't look like she is in pain. For health professionals, the medication should be counter-checked with the order of the physician to prevent medication errors which may lead to magnesium sulfate toxicity. Information about writing orders in EPIC is in the ISCU Mini-Manual provided when you begin your ISCU rotation. Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks' gestational age, as opposed to the usual about 40 weeks. com | Tổng Giám Đốc: Kelly Le: +1-(808)-729-8611 - 0347093450 (Phương sale). Have calcium gluconate available for IV administration. During the assessment, the nurse notes that the client is taking birth control pills. Food Sources of Magnesium A diet low in magnesium will benefit from the addition of foods rich in this vital mineral, including foods from the legume family, whole grains and some vegetables. Client may need to return on a regular basis for monitoring and/or treatments. We wish to be part of your success story. TITLE: MAGNESIUM SULFATE ADMINISTRATION OR ANTEPARTUM AND INTRAPARTUM PATIENTS. See full list on drugs. Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. D.Tell the client to avoid foods that contain caffeine. The availability of MgSO4 in L & D varied from 16% in Ethiopia. Maximum dose is 2g, and minimum interval between doses is 6 hours. That doesn’t seem like much when AHA recommends mas of 1500mg a day. Data, however, supports only the routine use of magnesium sulfate in patients with documented hypomagnesemia or with torsades de pointes VT. A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate. No child should lose their mother during delivery. Key barriers to high quality PE/E care included knowledge gaps, resource shortages, staff hierarchy between physicians and nurses, and poor relationships with patients. Like oxytocin, magnesium sulfate is a high-alert medication. The dancing gummy bear is a reaction between sugar and potassium chlorate, which produces violet fire and a lot of heat. The nurse will interpret these manifestations as: magnesium sulfate toxicity. Food Sources of Magnesium A diet low in magnesium will benefit from the addition of foods rich in this vital mineral, including foods from the legume family, whole grains and some vegetables. It is seen in. For health professionals, the medication should be counter-checked with the order of the physician to prevent medication errors which may lead to magnesium sulfate toxicity. JOIN THE INVIVO FAMILY. A nurse is providing education for a client who has severe hypomagnesemia due to alcohol use disorder. The first pregnancy – when I had a horrible diet was actually more manageable than the second one where I ate a nutrient dense whole foods diet that included a lot of magnesium (beans/leafy greens/figs EVERY SINGLE DAY. A sputum culture is obtained and identifies Mycobacterium tuberculosis. A.checking the most recent serum level of magnesium sulfate and notifying the physician of the results. Evening primrose oil should not be used with anticoagulants or phenothiazines (a type of psychotherapeutic. Never forget to add the date, time, and signature to all of your notes and orders. Hemorrhaging is not something most women want to think about when it comes to childbirth. Applications for benefits should be available on their website in January 2020. Caustic Ingestions. The hospital was a vital institution also in the evolution of nursing as a profession, since it was in this setting that the Nightingale Reforms were put into practice: recruitment on the basis of ‘vocation’, training undertaken as part of the work process, the hygiene ideal, the practice of ‘nursing the ward’, and the social order of. A laboring client with preeclampsia is prescribed magnesium sulfate 2 g/hour I. A: a 32 yo, G1P0, at 38 + 2/7 weeks, with superimposed preeclampsia, started on IV magnesium sulfate, does not show any signs of magnesium toxicity 2 h later. TITLE: MAGNESIUM SULFATE ADMINISTRATION OR ANTEPARTUM AND INTRAPARTUM PATIENTS. The night nurse has completed a change-of-shift report. During evening visitation, a visitor is noted to be coughing and sneezing. It is problematic because these conditions cause blood vessels to leak. His credentials are: M. Selected Ordering Discontinue the magnesium sulfate infusion. Pregnancy should be avoided while taking phenytoin. Many of the functions carried out by cells require ATP to provide the energy for the action. [9] Taking vitamin D and magnesium should be started before the fall flu season arrives. Medical Center Memorandum 14-073. infusion over 20 minutes followed by a continuous infusion of 2 g/ hr. Patients with depression or comorbid depression in the setting of other psychiatric illness being treated with antidepressants should be observed for clinical worsening and suicidality, especially during the. Talk with your doctor and family members or friends about deciding to join a study. A 2011 study published by the Journal of General Internal Medicine reported a 10% spike in teaching hospital deaths during the month of July due to medical errors. The modified version should be inserted into the NPS. The client should be cautioned against the use of alcohol and other central nervous system depressants because baclofen potentiates the depressant activity of these agents. English language publications only were used for this. anticonvulsant. Assess for contributing factors: pain, fluid and electrolyte imbalance, drug toxicity (especially digoxin), medication non-adherence. The client should be advised to rinse their mouth out after each use to prevent oral thrush. Carolyn Dean has published in her landmark thesis on magnesium deficiency, The Magnesium Miracle, published in 2004 and recently updated. The urine output should be maintained at 30 ml per hour because the medication is eliminated through the. When teaching the patient about his new diagnosis, how should the nurse best describe a peptic ulcer? A) Inflammation of the lining of the stomach B) Erosion of the lining of the stomach or intestine C) Bleeding from the mucosa in the stomach D) Viral invasion of the stomach wall Ans: B Feedback: A peptic ulcer. Many of the functions carried out by cells require ATP to provide the energy for the action. Flushing and sweating are adverse effects of magnesium sulfate but are not signs of. In hospitals supported by USAID, supported nearly 100% achievement of women receiving magnesium sulfate to help stabilize those suffering from pregnancy related high blood pressure and seizures Kenya Treated 1. Magnesium treatment is generally continued for 24-48 hours after the last seizure. However, the availability of minerals varies constantly in the environment. 5 grams of magnesium sulfate by IV per hour for 20 hours. ANS: C Anticonvulsant drugs act by blocking neuromuscular transmission and depress the central nervous system to control seizure. Pregnancy should be avoided while taking phenytoin. Never pre-sign a blank prescription. Finally, the reference lists of identified articles were examined to find addi- tional relevant studies. This may happen between 20-36 weeks and can be dangerous if not managed properly. Workers may apply for PFML after January 1, 2020. MgSO4, magnesium sulfate will be aborbed and used just as easily as MgCl2, magnesium chloride. A 26-year-old client with a family history of thrombophlebitis The clinic nurse is instructing a pregnant client in her first trimester about nutrition. ” “Take the medication with an antacid to minimize GI distress. The Pediatric Research Committee (PeRC) recommended that studies on the pediatric population should be required. A client who has had a myocardial infarction has a prescription to take a powdered form of psyllium (Metamucil) after discharge. Such screening should include a detailed psychiatric history, including a family history of suicide, bipolar disorder, and depression. Advised usage of a foot bath is 2 to 3 times a week for periods of 30 minutes to one hour. This shows magnesium is more reactive than zinc and both metals are more reactive than hydrogen. On the other hand inner and outer settings include; the needs of clients on magnesium sulfate and the availability of resources, while individual characteristics involve the individual’s beliefs in their own. Decreased urine output may occur in clients receiving I. 8 mmol/L) were included in a control group and another 35 randomly selected patients with low magnesium level (1. Calcium causes muscles to contract, while magnesium helps them relax. Postpartum Nurses care for expectant and new mothers throughout the process of childbirth. caused by head trauma. Cerebral palsy (CP) is a condition often associated with HIE: common symptoms include spasticity and muscle tightness. Some people have reported benefits from taking epsom salt (magnesium sulfate) baths, as magnesium is able to be absorbed through the skin. Family presence during resuscitation, in general, is not disruptive, 464,472,475,476,480,481 and does not create stress among staff or negatively affect their performance. Effects of magnesium sulfate on bleeding time in premature labor. Learn more. Some appropriate actions include double-checking any rate or dose changes with a second nurse, performing the handoff report at the bedside so that both nurses can verify the orders and compare them to the IV bag and pump rate. 2 mmol/kg/d to stay in balance. A nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The dancing gummy bear is a reaction between sugar and potassium chlorate, which produces violet fire and a lot of heat. ATTACHMENT F. Applications for benefits should be available on their website in January 2020. [email protected] It is important to remember to replace medication when the expiration date passes and if exposed to temperatures below 39F or above 104F. Jennie is still at risk for seizure, and her magnesium sulfate will be increased or decreased based on magnesium levels and clinical response. The co-assigned nurse asks the student to describe the actions and effects of this medication. Provide psychosocial support for patient and family members. P: continue IV magnesium sulfate and patient monitoring. Magnesium is commonly used on L&D units, but administration procedures vary greatly due to lack of standardization, local culture, and individual provider training and preferences. micafungin (my-ka- fun -gin) , Mycamine (trade name) Classification Therapeutic: antifungals Pharmacologic: echinocandins Pregnancy Category: C Indications Esophageal candidiasis. Patients with HELLP syndrome should be treated prophylactically with magnesium sulfate to prevent seizures, whether hypertension is present or not. That doesn’t seem like much when AHA recommends mas of 1500mg a day. It's also found in all green vegetables, dairy products, dried fruit, and fish. Nothing should be placed in the vagina for 2 weeks after the procedure. D) Decrease the magnesium sulfate rate to improve uterine contractility. CuO, copper oxide - a black powder. The nurse’s action should include (). Applications for benefits should be available on their website in January 2020. Talk with your doctor and family members or friends about deciding to join a study. All patients received standard. 14 – the master list should include information on the beds, staffing and services available in each facility. Visit paidleave. The client still complains of feeling sleepy. If calcium continues to decrease to below 3. The child should still get 2 doses at the recommended ages for long-lasting protection. These babies are known as preemies or premmies. Chapter 22: Anticonvulsants Test Bank MULTIPLE CHOICE 1. 14 – the master list should include information on the beds, staffing and services available in each facility. There are two randomized placebo-controlled trials evaluating the efficacy and safety of magnesium sulfate in women with mild preeclampsia. Availability of Magnesium Sulfate Most surveyed countries (28 of 37, or 76%) reported regular availability of magnesium sulfate in facilities (Figure 2). Preven on of Neonatal Herpes Simplex Virus (HSV) ~ Every newborn should be considered at risk for HSV infec on. Finally, the reference lists of identified articles were examined to find addi- tional relevant studies. A client received six units of regular insulin 3 hours ago. The initial nurse’s action should be to: A. The child should still get 2 doses at the recommended ages for long-lasting protection. Purpose: To document and evaluate teaching skills necessary to provide teaching to an individual client with a demonstrated need. You don't have to get the recommended amount of magnesium every day. This softens stools and helps the bowel move them out. Cardiac and renal function are monitored closely. The normal adult value for magnesium is 1. Deep tendon reflexes are assessed hourly. We wish to be part of your success story. 3x higher than magnesium carbonate, three. 462,464,480,482 If the presence of family members creates undue staff stress or is considered detrimental to the resuscitation, 483 then family members should be respectfully. That doesn’t seem like much when AHA recommends mas of 1500mg a day. NURSING: PHARMACOLOGICAL Questions and Answers with Explanation: Exam Practice and Review Question 1 When positioned properly the tip of a central venous catheter should lie in the: Question 2 While the nurse is caring for a neonate at 32 weeks gestation in an isolette with continuous oxygen administration the neonates mother asks why the neonates oxygen is humidified. Teaching Experience 1. Calcium Levels in Blood and Bones. The nurse on oncology is caring for a client with a white blood count of 800, a platelet count of 150,000, and a RBC count of 250, 000. As you know, the inside layer of wallboard is made from magnesium sulfate heptahydrate. The agency told public health agencies that two unidentified vaccines might be ready by October or November. Chapter 22: Anticonvulsants Test Bank MULTIPLE CHOICE 1. JOIN THE INVIVO FAMILY. The American College of Obstetricians and Gynecologists states that screening should include at minimum a personal cancer history and first- and second-degree relatives' cancer history that includes a description of the type of primary cancer, the age of onset, and the lineage of the family member. However, available evidence suggests that magnesium sulfate given before anticipated early preterm birth reduces the risk of cerebral palsy in surviving infants, [27, 28] Physicians electing to use magnesium sulfate for fetal neuroprotection should develop specific guidelines regarding inclusion criteria, treatment regimens, concurrent. So either keeping the dose going or stopping or reducing if toxicity is occurring. Specimen Urine (5 mL) from a random or timed specimen collected in a clean plastic collection container with 6N hydrochloride as a preservative. Monitor your blood sugar and watch for signs and symptoms of. Which assessment finding warrants immediate intervention by the nurse?. As the day nurse makes rounds on a postpartum client receiving magnesium sulfate, it is noted the client developed significantly elevated blood pressure during the past shift. Jennie is still at risk for seizure, and her magnesium sulfate will be increased or decreased based on magnesium levels and clinical response. Magnesium sulfate is the same thing as Epsom salt. You should not use this information as self-diagnosis or for treating a health problem or disease. She wrote a book on it, which I bought but was rather scientific, but if you google Dr. Here is a guide to searching the SPS Website for information on medicines. 5% difference. In assessing the client, the nurse notes a decrease in respirations from 16 to 12 breaths/minute and slightly pink-tinged urine (output is 25mL/hour). When transfusion reactions. Magnesium sulfate injection is a naturally occurring mineral used to control low blood levels of magnesium. After the physician performs an amniotomy, the nurse’s first hsi should be to assess the:. Coronavirus (COVID-19) is a new respiratory disease. If you’re a commercial producer, you can benefit from our consulting services in person. The nurse should include which piece of information in discussions with the client? 1. e “OB RAPID Response”. Bruce Roberts, MD, an integrative medicine physician, explains: “Epsom salts are a magnesium salt. Seven RCTs were included in the review (n = 361), all comparing magnesium to placebo. Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. [email protected] A doctor or pharmacist can show patients, their family members, or caregivers how to administer naloxone. Another option is to put a bit of magnesium sulfate paste (which costs just a few dollars) on the area and cover with a bandage. Family members need to be included in teaching, particularly the person who prepares and assists with meals. Restless Leg Syndrome is often related to nutritional deficiencies, particularly magnesium. A 16-year-old primigravid client admitted at 38 weeks' gestation with severe preeclampsia is given intravenous magnesium sulfate and lactated Ringer's solution. Suspension. Pacing Clin Electrophysiol. The patient is perspiring and her blood pressure is 88/50. MgO, magnesium oxide - a white ash. Assessment Potential Nursing Diagnoses Prior to administration: Obtain a complete health history including allergies, drug history, and possi- ble drug interactions. Carolyn Dean/magnesium you will find all the information here. As a follow-up treatment, the animal should be removed from the tetany-producing pasture and fed hay and concentrates. If possible, give a full regimen of magnesium sulfate to women with eclampsia or severe pre-eclampsia. The nurse is preparing to discharge the client. ATTACHMENT F. A loading dose of magnesium sulfate should be given as a 4g bolus over 15 to 30min followed by a continuous infusion of 2-3g/hour in Dextrose 5% in water. The patient should have calcium checked 1 week after discharge (locally or at UIHC follow-up). Teaching the client how to administer her own medication is the best example of the nurse's role as a client advocate, because this action directly helps the client develop self-advocacy skills The nurse knows the client has the right to read and copy his medical records, and that this is guaranteed by virtue of which of the following?. Laboratories, Inc. Géza Bálint Ujvárosi / EyeEm / Getty Images. Magnesium sulfate has both immediate bronchodilator effects and mild anti-inflammatory effects. TITLE: MAGNESIUM SULFATE ADMINISTRATION OR ANTEPARTUM AND INTRAPARTUM PATIENTS. These 1O1WCr the stool pH causing distention of the bowel that. Which instruction should the nurse include in the discharge teaching plan of a 7-year-old girl with a history of frequent urinary tract infections? D. Nizoral Or Diflucan AAP Discomed contains Levamisol, NaCl, Piperazine, Magnesium Sulfate and Neomycin Sulfate Activity (all pharmaceutical grade). If you have rectal bleeding or if you do not have a bowel movement after using magnesium sulfate as a laxative, stop using the medication and call your doctor at once. Which instructions should the teaching plan include when the client is advised to remain in bed? "Raise the foot of the bed on blocks. 4 Wash dishes in warm water. A woman is receiving magnesium sulfate for intrapartum eclampsia. Learn about the symptoms, risk factors, and treatment methods for preeclampsia after birth. Several systematic reviews conclude that IV magnesium is a safe and effective treatment and may be considered in patients presenting with severe life threatening asthma exacerbations (FEV 1 < 25% predicted) and those who remain in the severe category. A nurse is caring for a patient who just has been diagnosed with a peptic ulcer. In particular, cutting and pasting should be kept to an absolute minimum. This includes tampons and vaginal intercourse. 14 The National Comprehensive Cancer Network. Helps promote high magnesium retention in the body. After maximum inspiration, hold the breath for 15 seconds and. Demonstrate ability to thoroughly assess the learning styles of an individual or family using given developmental or […]. Caustic or corrosive substances include alkalis (household cleaning products), turpentine and petroleum products. Announces Voluntary Nationwide Recall Of All Lots Of Magnesium Sulfate 2gm In Dextrose 5% In Water, 50ml For Injection Due To Mold Contamination (03/16/2013) Warning Letter (07/09/2010). A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. Benzos were once prescribed for the short-term management of insomnia, but they are rarely used for this medical purpose anymore. The blood pressure decreases c. A 20-year-old woman has been prescribed estrogen. Magnesium Sulfate: Magnesium sulfate has been utilized for seizure control since the 1920s, but it received its first confirmation as an efficacious treatment for severe preeclampsia and eclampsia in 1995 through the Collaborative Eclampsia Trial. The availability of MgSO4 in L & D varied from 16% in Ethiopia. These are the harshest type of laxatives. You can verify insurance and this profile, book an appointment, and call them with any additional. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. the nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. Highly absorbable types of magnesium such as "magnesium glycinate" or "magnesium orotate" do not cause such problems. Know the warning signs of heart attack and stroke and act fast if you notice signs and symptoms in yourself or others. In assessing the client, the nurse notes a decrease in respirations from 16 to 12 breaths/minute and slightly pink-tinged urine (output is 25mL/hour). When given in utero, these drugs can help to prevent cerebral palsy (30, 31). During evening visitation, a visitor is noted to be coughing and sneezing. com Masoumeh Simbar [email protected] If you have rectal bleeding or if you do not have a bowel movement after using magnesium sulfate as a laxative, stop using the medication and call your doctor at once. Present studies on magnesium sulfate heptahydrate report no negative results on health. Scotoma’s are present. Magnesium sulfate has both immediate bronchodilator effects and mild anti-inflammatory effects. D) Decrease the magnesium sulfate rate to improve uterine contractility. C.Call the physician, report the symptoms, and request to draw a blood sample to determine the client’s potassium level. To assess the neuroprotective effect of magnesium sulfate (MgSO 4) in preterm children exposed to chorioamnionitis. METHODS: This was a prospective observational study of children born at 22 0/7-26 6/7 weeks of. The patient should be placed in the left lateral position and the airway secured. During the assessment, the nurse notes that the client is taking birth control pills. * Elsevier is a leading publisher of health science books and journals, helping to advance medicine by delivering superior education, reference information and decision support tools to doctors, nurses, health practitioners and students. 3x greater than magnesium carbonate, 3. To deliver the correct dose, the nurse should set the pump to deliver how many milliliters per hour? _____ mL. You can verify insurance and this profile, book an appointment, and call them with any additional. Information about danger signs of pre-eclampsia/eclampsia should be made available to antenatal clients. When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse in charge should include which of the following? A. C.Blood pressure must be monitored for hypertension. English language publications only were used for this. Magnesium is a naturally occurring mineral that is important for many systems in the body, especially the muscles and nerves. JOIN THE INVIVO FAMILY. 10% calcium gluconate solution (given intravenously) is the form of calcium most widely used in the treatment of low blood calcium. Seizures do not occur d. The abdominal examination should include liver margin edge location and any tenderness to palpation. Include significant others in teaching learning process. * Eliminate options 1 and 4 first because they are comparable or alike. Hydrotherapy Definition Hydrotherapy, or water therapy, is the use of water (hot, cold, steam, or ice) to relieve discomfort and promote physical well-being. Assess urinary output. magnesium and should be monitored closely to keep urine output at greater than 30 ml/hour, because magnesium is excreted through the kidneys and can easily accumulate to toxic levels. It really isnt a problem; your body will just get. "You should eliminate whole grains from your diet until. Which of the following clients is at. What We Know About the C. Magnesium treatment is generally continued for 24-48 hours after the last seizure. Support from significant others can help allay anxiety as well as reinforce principles of teaching and learning. This study uncovered a. -Milk of magnesia: 10 to 20 cc if concentrated, 15 to 30 cc if regular. Highly absorbable types of magnesium such as "magnesium glycinate" or "magnesium orotate" do not cause such problems. It's also found in all green vegetables, dairy products, dried fruit, and fish. Signs of magnesium sulfate toxicity relate to the central nervous system depressant effects of the medication and include respiratory depression, loss of deep tendon reflexes, and a sudden decline in fetal heart rate and maternal heart rate and blood pressure. Client exit interviews (to assess whether counseling and health education took place on the availability and/or use of misoprostol, magnesium sulfate, chlorhexidine, and user satisfaction with services delivered including their perceptions, experience and intentions). Restriction of fluids is not necessary, but the client should be warned that urinary retention may occur. Iron supplements should be taken throughout pregnancy. Medical uses Low blood calcium. It is seen in. The patient is perspiring and her blood pressure is 88/50. Sulfa allergy The term “sulfa allergy” (or “sulphur allergy”) most commonly refers to an immunological response to sulfonamide antibiotics. Terbutaline has caused serious side effects, including death, in pregnant women who took the medication for this purpose. The nurse is caring for a client who had gestational diabetes during pregnancy in the postpartum unit. Interventions for women with preeclampsia in the prenatal period include increased monitoring, magnesium sulfate, antihypertensive medications and corticosteroids for fetal lung maturation, if indicated. The serum magnesium level is 10 mg/dL. Whatever your method, just make sure you’re getting it daily in adequate amounts, since at least 50% of Americans have magnesium deficient diets, consuming less than 400 mg per day. When teaching the patient about his new diagnosis, how should the nurse best describe a peptic ulcer? A) Inflammation of the lining of the stomach B) Erosion of the lining of the stomach or intestine C) Bleeding from the mucosa in the stomach D) Viral invasion of the stomach wall Ans: B Feedback: A peptic ulcer. )Call the physician if the fetus moves 10 times in 1 hour. ” Use this information to live your best life now. Family Participation, Support and Planning For Labour And Birth 2. Sulfa allergy is a term used to describe an adverse drug reaction to sulfonamides, a class of drugs that includes both antibiotics and non-antibiotics. 0x higher than magnesium oxide, chelated magnesium is absorbed sooner and at a better price than ionic salts. MedWatch - The FDA Safety Information and Adverse Event Reporting Program. Carolyn Dean has published in her landmark thesis on magnesium deficiency, The Magnesium Miracle, published in 2004 and recently updated. However, available evidence suggests that magnesium sulfate given before anticipated early preterm birth reduces the risk of cerebral palsy in surviving infants, [27, 28] Physicians electing to use magnesium sulfate for fetal neuroprotection should develop specific guidelines regarding inclusion criteria, treatment regimens, concurrent. UNIVERSITY OF MIAMI NUR 450 Hesi Exam Practice Questions with answers - V 4 UNIVERSITY OF MIAMI NUR 450 Hesi Exam Practice Questions with answers - V 4 1. You may receive magnesium sulfate in an intensive care unit or a labor and delivery unit. 200 mg aluminum hydroxide, 200 mg magnesium hydroxide, 25 mg simethicone. A nurse is teaching a group of young adult clients about risk factors for hearing loss. The nurse should: Continue the infusion of magnesium sulfate while monitoring the client's blood pressure. About half of the deficit should be replaced in the first 24 hours. A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. Don’t be misled by ultra-high SPF numbers. Calcium gluconate should be easily accessible because it is the antidote for magnesium sulfate. The nurse on oncology is caring for a client with a white blood count of 800, a platelet count of 150,000, and a RBC count of 250, 000. Chemical or scientific names are used to give an accurate description of a substance's composition. Specific changes may be seen on an electrocardiogram (ECG). Workers may apply for PFML after January 1, 2020. So either keeping the dose going or stopping or reducing if toxicity is occurring. 345 (quantile 2. Monitor your blood sugar and watch for signs and symptoms of. The third laxative treatment option is osmotic laxatives, such as lactulose, magnesium hydroxide, magnesium sulfate, and sorbitol. It's also found in all green vegetables, dairy products, dried fruit, and fish. It is a white crystalline solid, soluble in water but not in ethanol. Which of the following statements should the nurse manager plan to include in the teaching? "Use the complete name of the medication magnesium sulfate. to the unit labeled magnesium sulfate 20 g/500 mL normal saline. The blood pressure decreases c. Maybe they could benefit from your good example! Know your family history of heart disease. The Merck Manual provides information on this condition for patients and caregivers. Most people in the U. Include significant others in teaching learning process. Aluminum Hydroxide, Magnesium Hydroxide are antacids used together to relieve heartburn, acid indigestion, and upset stomach. 10% calcium gluconate solution (given intravenously) is the form of calcium most widely used in the treatment of low blood calcium. Visit paidleave. The PRN protocol will include: • All of the information found in the medication order, plus: • The specific signs and symptoms that the medication should be given for • A maximum daily dosage • Any special instructions, such as when to call a nurse or the prescribing practitioner. If magnesium is insufficient, potassium and calcium will be lost in the urine and calcium will be deposited in the soft tissues (kidneys, arteries, joints, brain, etc. Magnesium is a co-factor in over 300 different. NGC6396 16:46, 20 February 2009 (UTC). A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Additionally, Thinkbaby and Thinksport sunscreens utilize average zinc oxide particles greater than 110nm. for nausea, for blood pressure, etc. Join us for live, online events each month! From prepping for the TEAS to preparing for the NCLEX to finding your first job out of nursing school and more. magnesium and should be monitored closely to keep urine output at greater than 30 ml/hour, because magnesium is excreted through the kidneys and can easily accumulate to toxic levels. Which of the following clients is at. Include significant others in teaching learning process. Several systematic reviews conclude that IV magnesium is a safe and effective treatment and may be considered in patients presenting with severe life threatening asthma exacerbations (FEV 1 < 25% predicted) and those who remain in the severe category. Minerals from Epsom salts are easily soaked up by the body. Drink plenty of liquids while you are taking magnesium sulfate. 51,52 One of these trials included 135 women 30 and the other included only 222 women. Bogdan Popa M. d) Backup contraception is not needed during the first 7 days after the first ring is placed. The American College of Obstetricians and Gynecologists states that screening should include at minimum a personal cancer history and first- and second-degree relatives' cancer history that includes a description of the type of primary cancer, the age of onset, and the lineage of the family member. In assessing the client, the nurse notes a decrease in respirations from 16 to 12 breaths/minute and slightly pink-tinged urine (output is 25mL/hour). On the other hand inner and outer settings include; the needs of clients on magnesium sulfate and the availability of resources, while individual characteristics involve the individual’s beliefs in their own. MedWatch - The FDA Safety Information and Adverse Event Reporting Program. How do plants adapt to low or high levels of minerals in the soil? The answer to this question holds the key to sustainable crop production. A client on 2 gm/hr of magnesium sulfate has decreased deep tendon reflexes. That doesn’t seem like much when AHA recommends mas of 1500mg a day. Examples include polyethylene glycol (1 brand name: Miralax) and magnesium hydroxide solution (brand name: Milk of Magnesia). Have calcium gluconate available for IV administration. 8, 33, 39 Magnesium sulfate is primarily used to decrease seizure potential in patients with preeclampsia, but it also provides fetal neuroprotection and may decrease the severity of cerebral palsy. The blood pressure decreases c. Screening for and discussing this with clients is important as studies show 75‐90% of individuals who are seroposi ve are unaware of their infec on. While magnesium is given you will be observed closely, receive intravenous fluids, and may have a catheter placed in your bladder to measure urine output. MgO, magnesium oxide - a white ash. Magnesium sulfate has both immediate bronchodilator effects and mild anti-inflammatory effects. Postpartum Nurse Resume Examples. December 12, 2014. JOIN THE INVIVO FAMILY. Teaching Experience 1. Examples include training when new equipment, policies, or processes are introduced into the work setting. Get the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX-RN ® examination. For pain after a hysterectomy: 3 grams of magnesium sulfate in an IV solution has been used followed by 0. Assess for the presence or history of malnutrition, hypomagnesia, seizure ac- tivity, preeclampsia, and kidney disease. NSF International protects and improves global human health. NURSING PROCESS FOCUS Clients Receiving Magnesium Sulfate. To maximally benefit from these resources, however, women must first seek medical care in a timely fashion. The information inside will help guide you through your healing journey, and offer you practical tips on how to use supplements to address your own root causes. antihypertensive. Both the lower uterine segment and the fundus must be massaged. Medications. IV magnesium sulfate is usually considered the drug of choice for treatment of torsades, regardless of the patient's magnesium level. Enemas should be administered slowly through a well- lubricated 10-12 French rubber catheter. A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. Side effects, drug interactions, dosing and storage information, and pregnancy safety information should be reviewed prior to taking this medication. The night nurse has completed a change-of-shift report. As a follow-up treatment, the animal should be removed from the tetany-producing pasture and fed hay and concentrates. ” “Take the medication with an antacid to minimize GI distress. Types of non-allergic reactions to sulfonamide antibiotics include nausea and diarrhoea, candidiasis, folate deficiency, and headaches. A: a 32 yo, G1P0, at 38 + 2/7 weeks, with superimposed preeclampsia, started on IV magnesium sulfate, does not show any signs of magnesium toxicity 2 h later. However, available evidence suggests that magnesium sulfate given before anticipated early preterm birth reduces the risk of cerebral palsy in surviving infants, [27, 28] Physicians electing to use magnesium sulfate for fetal neuroprotection should develop specific guidelines regarding inclusion criteria, treatment regimens, concurrent. Yeah I am HG survivor too. Each ounce of our Pure Magnesium Oil contains 3182 mg of elemental magnesium (538 mg per teaspoon), yielding about 215 mg of elemental magnesium for 8 sprays. Choosing to participate in a study is an important personal decision. Here is a guide to searching the SPS Website for information on medicines. NURSING PROCESS FOCUS Clients Receiving Magnesium Sulfate Assessment Potential Nursing Diagnoses Assess for the presence or history of malnutrition, hypomagnesia, seizure ac-tivity, preeclampsia, and kidney disease. On the basis of this finding, the nurse should make which interpretation? 1. When giving a magnesium sulfate bolus to the patient, remain at the patient’s bedside for 15 minutes to assess for any signs of toxicity [4, 5]. P: continue IV magnesium sulfate and patient monitoring. What We Know About the C. Twenty-five cases of severe PE/E were observed: magnesium sulfate (MgSO4) was used in 15, not used in 5, and for 5 use was unknown. For a country in which a master health facility list does not exist or is incomplete, a. Click on the link above to access this information. Of these, 35 randomly selected patients with normal blood magnesium level (≥1. This study uncovered a. “Increased acuity with increase in magnesium sulfate, Pitocin, higher c-section rates, older primips requiring more support & teaching, need for DVT prophylaxis. Magnesium and calcium complete for many of the body’s chemical pathways. Stimulant laxatives. Fineout-Overhold and Melnyk (2005) stated that “ongoing on-. 8, 33, 39 Magnesium sulfate is primarily used to decrease seizure potential in patients with preeclampsia, but it also provides fetal neuroprotection and may decrease the severity of cerebral palsy. 3x higher than magnesium carbonate, three. A nurse is providing education for a client who has severe hypomagnesemia due to alcohol use disorder. Interventions for women with preeclampsia in the prenatal period include increased monitoring, magnesium sulfate, antihypertensive medications and corticosteroids for fetal lung maturation, if indicated. Workers who need leave after December 31, 2019, may apply for Paid Family Medical Leave (PFML), an insurance program administered by the Employment Security Department. Explain rationale to patient and support person with the use of tocolytics to treat contractions and to try to prevent preterm birth Explain all procedures, equipment, medications, and side effects and answer all questions. , treatment of any acute episode of muscle weakness includes providing a secure airway, effective ventilation, and circulatory stabilization. Get the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX-RN ® examination. Magnesium Sulfate For Administration For Antepartum And NURSING PROCEDURE TITLE: MAGNESIUM SULFATE when patient moves into active labor. The nurse should not be the one to share sensitive information with the family; the client controls that information. magnesium sulfate to pregnant women diagnosed with severe pre-eclampsia or eclampsia and their monitoring to determine progress”. INCORRECT While it is true that magnesium sulfate can decrease uterine contractility, it should not be decreased. Information from the National Library of Medicine. 51,52 One of these trials included 135 women 30 and the other included only 222 women. Maybe they could benefit from your good example! Know your family history of heart disease. This third displacement reaction can be used for any metal that appears lower than itself on the table. The American College of Obstetricians and Gynecologists states that screening should include at minimum a personal cancer history and first- and second-degree relatives' cancer history that includes a description of the type of primary cancer, the age of onset, and the lineage of the family member. A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. The client still complains of feeling sleepy. The pharmacy sends the I. -Sodium phosphate: 4 to 8 g dissolved in water. You may receive magnesium sulfate in an intensive care unit or a labor and delivery unit. Coronavirus (COVID-19) is a new respiratory disease. Calcium gluconate should be easily accessible because it is the antidote for magnesium sulfate. Visual symptoms in preeclampsia and eclampsia include photopsia, visual field defects, sudden inability to focus, blurred or decreased vision and, in severe cases, complete blindness. The patient is perspiring and her blood pressure is 88/50. Ankle clonus in noted b. Enemas should be administered slowly through a well- lubricated 10-12 French rubber catheter. 462,464,480,482 If the presence of family members creates undue staff stress or is considered detrimental to the resuscitation, 483 then family members should be respectfully. If you’re a client producing for your personal consumption, you’ll find the answers to your questions by communicating with us via the CONTACT tab. A therapeutic range of magnesium in the bloodstream would need to be sufficient to improve a patient's condition (Thomas, 1997). Caustic or corrosive substances include alkalis (household cleaning products), turpentine and petroleum products. Here is a guide to searching the SPS Website for information on medicines. 2 min, though not significantly (p = 0. The further apart the two metals appear, the more vigorous the reaction. Liquid magnesium chloride is available online and an appropriate dose for an infant or small child can be prepared by diluting and adding to juice. Compare amounts of elemental magnesium and other ingredients, learn about dosage and side. Factors that predispose an animal to oxalate intoxication include the amount and rate at which the oxalate plant is eaten and the quantity of other feed diluting the oxalate in the rumen. Chemical or scientific names are used to give an accurate description of a substance's composition. While magnesium is given you will be observed closely, receive intravenous fluids, and may have a catheter placed in your bladder to measure urine output. Magnesium sulfate decreases myometrial contractions through inhibition of calcium entry into the myometrial cells, resulting in a tocolytic effect. The molecule ATP, or adenosine tri-phosphate, is the fundamental unit of energy used in human cells. Which characteristics should the nurse include in the discussion in understanding case management? (a) Main objective is a written plan that combines discipline-specific processes used to measure outcomes of care. Mag sulfate can make a patient feel miserable. Medical Center Memorandum 14-073. Manage your stress levels. Seven RCTs were included in the review (n = 361), all comparing magnesium to placebo. Of the 9 coun-tries that reported that magnesium sulfate is still not regularly available at least half the time, 6 were in Africa and 3 in Asia. Jun 15, 2014 - Products for perinatal professionals in hospital, clinic & private practice utilized for teaching and comfort measures. 345 (quantile 2. linked to a stroke. For additional information about a product, please contact the manufacturer. Gastric lavage is contraindicated in patients with an unprotected airway, with ingestions of substances that carry a high risk of aspiration (e. The normal adult value for magnesium is 1. A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. -Sodium phosphate: 4 to 8 g dissolved in water. Intravenous injections should be administered slowly by a trained person, because there is danger of heart failure if they are given too rapidly. This form of calcium is not as well absorbed as calcium lactate, and it only contains 0. Client may need to return on a regular basis for monitoring and/or treatments. I work in a family-centred, creative and flexible manner with a passion for efficient, collaborative and functional goal based outcomes for my clients. D.Stop the medication when symptoms subside. Types of non-allergic reactions to sulfonamide antibiotics include nausea and diarrhoea, candidiasis, folate deficiency, and headaches. Seth Camhi MD's practice location is: 4150 Regents Park Row (suite 235) La Jolla, CA 92037-9124. Which instructions should the teaching plan include when the client is advised to remain in bed? "Raise the foot of the bed on blocks. The client is drinking hot tea when the Psychiatric Technician goes to the bedside to take the vital signs. a) The client should eat a low-fiber diet to prevent diarrhea. Examples: silver choride, bromide and iodide. Float therapy is a large enclosed bathtub designed to reduce distractions: lights, sounds, gravity, and tactile sensations. Baclofen (Lioresal) is a drug that is used to reduce both of these problems. -Monobasic and dibasic sodium phosphate (Fleet Phospho-soda): 20 to 40 mL mixed with 4 oz of cold water. Workers may apply for PFML after January 1, 2020. In PICU, dosing may be scheduled q6 or as needed. Some banana bags also include magnesium. MedlinePlus was designed by the National Library of Medicine to help you research your health questions, and it provides more information about this topic. 2009 Jun;113(6):1327-33. Choosing to participate in a study is an important personal decision. In assessing the client, the nurse notes a decrease in respirations from 16 to 12 breaths/minute and slightly pink-tinged urine (output is 25mL/hour). gov for more details. The patient should be placed in the left lateral position and the airway secured. anticonvulsant. Availability of Magnesium Sulfate Most surveyed countries (28 of 37, or 76%) reported regular availability of magnesium sulfate in facilities (Figure 2). 2010; 13 (5):399–402. Delivering the fetus can help resolve preeclampsia and eclampsia, but symptoms can continue even after delivery, and some of them can be serious. Sergey Lugina D. " What action should the nurse take ?() A.Tell the client to rest more often. Which of the following client information should indicate to the nurse that the client requires a revision of his IV therapy prescription? (Click on the “Exhibit” button for additional information about the client. Calcium gluconate should be easily accessible because it is the antidote for magnesium sulfate. Another option is to put a bit of magnesium sulfate paste (which costs just a few dollars) on the area and cover with a bandage. The client rates her pain as 8 out of 10, with 10 being the most intense. The urine output should be maintained at 30 ml per hour because the medication is eliminated through the. Which is the client’s most appropriate priority nursing diagnosis? The toddler is admitted with a cardiac anomaly. (b) Main purpose is to identify expected client, family and staff performance against the timeline for clients with the same diagnosis. You should know that the effective difference between SPF 30 and SPF 100 is approximately 2. magnesium sulfate to pregnant women diagnosed with severe pre-eclampsia or eclampsia and their monitoring to determine progress”. ANS: B Of all seizure cases, 75% are primary, or idiopathic, with no known cause. Medical Center Memorandum 14-073. The initial nurse’s action should be to: A. -Milk of magnesia: 10 to 20 cc if concentrated, 15 to 30 cc if regular. Solutions that may be used include warm tap water, DSS (5-10 ml/cat), mineral oil (5-10 ml/cat) or lactulose (510 ml/cat). Which intervention should the nurse prepare. 11 In the cell, magnesium. This form of calcium is not as well absorbed as calcium lactate, and it only contains 0. What is the best response by the nurse? 1. Workers who need leave after December 31, 2019, may apply for Paid Family Medical Leave (PFML), an insurance program administered by the Employment Security Department. Carolyn Dean/magnesium you will find all the information here. Magnesium sulfate has both immediate bronchodilator effects and mild anti-inflammatory effects. Flushing and sweating are adverse effects of magnesium sulfate but are not signs of. Magnesium citrate also increases water in the intestines. The plan also includes information about the following topics:. idiopathic in origin. Presenting your patient. Terbutaline should not be used to stop or prevent premature labor in pregnant women, especially in women who are not in a hospital. Therapeutic serum magnesium levels are defined as a range from 4 to 7 mEq/L; this range simultaneously decreases CNS irritability and relaxes uterine smooth muscle ("Magnesium Sulfate," 2002). Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. Monitor the FHR continuously R: Magnesium sulfate, which is used to prevent seizures in clients who have preclampsia, is a high-alert medicatio that require close monitoring, The FHR and uterine contractions should be monitored continuously while the client is reciving magnesium sulfate. This study uncovered a. The nurse needs to act as an advocate for the client. This shows magnesium is more reactive than zinc and both metals are more reactive than hydrogen. A nurse is reinforcing teaching about newborn home safety precautions with a group of new mothers. MedlinePlus was designed by the National Library of Medicine to help you research your health questions, and it provides more information about this topic. Bogdan Popa M. Magnesium, potassium, and sodium are electrolyte minerals that occur naturally in body fluids. Preeclampsia is a complication of pregnancy that affects blood pressure and other organ systems. idiopathic in origin. ” “Include salmon and organ meats in your diet on a weekly basis. D) Decrease the magnesium sulfate rate to improve uterine contractility. Antenatal magnesium sulfate given to women at imminent risk of very preterm delivery is currently the intervention supported most strongly by a robust body of evidence as being effective in preventing cerebral palsy in newborn infants. Of these, 35 randomly selected patients with normal blood magnesium level (≥1. Face-to-face social interaction with someone who cares about you is the most effective way to calm your nervous system and relieve stress. Our feeder company inadvertently gave us an unknown amount of calcium sulfate dihydrate in one of its shipments and this was mixed in with the magnesium sulfate heptahydrate before processing it. Hypomagnesemia is an electrolyte imbalance and is indicated by a low level of magnesium in the blood. That doesn’t seem like much when AHA recommends mas of 1500mg a day. Jennie is still at risk for seizure, and her magnesium sulfate will be increased or decreased based on magnesium levels and clinical response. Mag sulfate can make a patient feel miserable. Treatment varies but may include magnesium or other fluids given by IV to correct electrolyte imbalances. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate. Bogdan Popa M. Magnesium and calcium complete for many of the body’s chemical pathways. ” “This medication may cause your urine to turn orange. The vaccine prevents a future fetus from developing congenital anomalies B. 2 min, though not significantly (p = 0. A client who is at 36 weeks gestation is admitted with severe preeclampsia. Epsom salt is pure magnesium sulfate, which has several health benefits, such as relieving tension and stress, muscle pain, headaches and constipation, Indiana University Health cosmetic. Here is a guide to searching the SPS Website for information on medicines. If calcium continues to decrease to below 3. A 20-year-old woman has been prescribed estrogen. The water is heated to skin temperature and is filled with 1000 pounds of Epsom salt (magnesium sulfate), making it denser than even the Dead Sea. The Pediatric Research Committee (PeRC) recommended that studies on the pediatric population should be required. The infusion rate needs to be increased. a) The client should eat a low-fiber diet to prevent diarrhea. Which of the following information should the nurse include in the teaching? A. Therapeutic serum magnesium levels are defined as a range from 4 to 7 mEq/L; this range simultaneously decreases CNS irritability and relaxes uterine smooth muscle ("Magnesium Sulfate," 2002). Magnesium is commonly used on L&D units, but administration procedures vary greatly due to lack of standardization, local culture, and individual provider training and preferences. Contraception: Teaching About Birth Control Methods. And for those mothers and babies who survive the birthing process, none should suffer the dire consequences of malnutrition, or suffer infections and diseases that we know how to prevent and treat. Emergency procedures can take place without written consent for an unconscious or 15. Trying to find the best magnesium supplement? ConsumerLab tested popular forms and brands. com | Tổng Giám Đốc: Kelly Le: +1-(808)-729-8611 - 0347093450 (Phương sale). Seth Camhi MD is a male health care provider in La Jolla with Family Medicine listed as his primary medical specialization. Treatment varies but may include magnesium or other fluids given by IV to correct electrolyte imbalances. Therapeutic abortion is. It is seen in. Calcium gluconate should be easily accessible because it is the antidote for magnesium sulfate. The magnesium sulfate is effective. Text Mode – Text version of the exam 1. The effect of magnesium sulfate treatment on blood biochemistry and bleeding time in patients with severe preeclampsia. However, the availability of minerals varies constantly in the environment. This includes tampons and vaginal intercourse. Cheap fillers. The patient should have calcium checked 1 week after discharge (locally or at UIHC follow-up). Magnesium can also be added to a protein supplement, silage, or liquid supplements. )Report a heart rate greater than 120 beats/minute to the physician. In assessing the client, the nurse notes a decrease in respirations from 16 to 12 breaths/minute and slightly pink-tinged urine (output is 25mL/hour). Magnesium and calcium complete for many of the body’s chemical pathways. Version SEKI 3/09). Advised usage of a foot bath is 2 to 3 times a week for periods of 30 minutes to one hour. The nurse should not be the one to share sensitive information with the family; the client controls that information. , treatment of any acute episode of muscle weakness includes providing a secure airway, effective ventilation, and circulatory stabilization. INCORRECT: This client has gained the appropriate weight of 3 to 4 lb in the first trimester and approximately 1 pound per week in the second trimester. The nurse should: A. A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate. Announces Voluntary Nationwide Recall Of All Lots Of Magnesium Sulfate 2gm In Dextrose 5% In Water, 50ml For Injection Due To Mold Contamination (03/16/2013) Warning Letter (07/09/2010). CORRECT: The nurse should be concerned about this client because she has exceeded the expected 3- to 4-lb weight gain of a client in the first trimester. , epsom salt (magnesium sulfate) soaks, by alternative practitioners (e. Magnesium sulfate before anticipated preterm birth for neuroprotection. Magnesium sulfate is used to slow contractions for 24 to 48 hours to allow time to administer corticosteroid injections and move the mother to a hospital with a neonatal intensive care unit NICU, if necessary. When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse in charge should include which of the following? A. Treatment and prophylaxis of seizures: Magnesium sulfate is the anticonvulsant drug of choice. 24 Seven is a monthly, free magazine for personal growth, professional development, and self-empowerment. Treatment varies but may include magnesium or other fluids given by IV to correct electrolyte imbalances. Advised usage of a foot bath is 2 to 3 times a week for periods of 30 minutes to one hour. When teaching the patient about his new diagnosis, how should the nurse best describe a peptic ulcer? A) Inflammation of the lining of the stomach B) Erosion of the lining of the stomach or intestine C) Bleeding from the mucosa in the stomach D) Viral invasion of the stomach wall Ans: B Feedback: A peptic ulcer. Treatment decisions for preeclampsia, eclampsia, and HELLP syndrome need to take into account how severe the condition is, the potential for maternal complications, how far along the pregnancy is, and the potential risks to the fetus. Doctor’s Best High Absorption Magnesium Glycinate Lysinate, 100% Chelated, TRACCS, Not Buffered, Headaches Higher absorbability: magnesium glycinate – 2. After a 6 gram loading dose of magnesium sulfate is administered, an intravenous infusion of magnesium sulfate at a rate of 2 grams/hour is initiated. Magnesium citrate may also be used for purposes not listed in this medication guide. Assess respiratory rate. )Take terbutaline every 4 hours, during waking hours only.