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What are nursing implications with Mag sulfate?

a) Monitor for signs of magnesium deficiency.
b) Assess deep tendon reflexes and respiratory rate regularly.
c) Administer the medication rapidly through bolus injection.
d) Encourage high intake of foods rich in potassium.

1 Answer

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Final answer:

The appropriate nursing implications for magnesium sulfate include regularly assessing deep tendon reflexes and respiratory rate, and monitoring for signs of magnesium overdose or toxicity. Rapid bolus injection is not advised, and while a high-potassium diet is healthy, it is not directly related to magnesium sulfate administration but is beneficial for overall metabolic health.

Step-by-step explanation:

Nursing Implications for Magnesium Sulfate

Magnesium sulfate is a medication used in various clinical situations, including obstetrics for the prevention of seizures in preeclampsia and as a bronchodilator in severe asthma. It's also used in the management of magnesium deficiency and specific types of cardiac arrhythmias. Regarding the nursing implications associated with the administration of magnesium sulfate, particularly in the context of Metabolic Syndrome (MetSyn) and cardiovascular health, it is crucial to:

  • Assess deep tendon reflexes and respiratory rate regularly to prevent magnesium toxicity, as high levels of magnesium can suppress neuromuscular and respiratory function.
  • Monitor the patient for signs of magnesium overdose or toxicity, which may include reduced or absent deep tendon reflexes, low respiratory rate, and low blood pressure.

Magnesium plays a pivotal role in preventing MetSyn—adequate dietary magnesium, calcium, potassium, and bicarbonate can contribute to maintaining a healthy metabolic profile in the context of a Western diet.

It's important to note that option c) suggesting to Administer the medication rapidly through bolus injection does not align with standard practices, as it can cause serious complications and is typically infused slowly. Additionally, while option d) Encourage high intake of foods rich in potassium is generally healthy advice, it's not specific to the administration of magnesium sulfate but is significant in the context of overall metabolic health.

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