Question

What parameters should the nurse monitor in a patient receiving Mg sulfate?

a) Blood glucose levels
b) Respiratory rate
c) Urinary output
d) All of the above

Answer 1

In patients receiving magnesium sulfate, a nurse should monitor serum magnesium levels, renal function, serum calcium, phosphorus, electrolytes, cardiovascular functions, and respiratory function to ensure patient safety and therapeutic efficacy.

Step-by-step explanation:

Monitoring Parameters for Patients Receiving Mg Sulfate

When a patient is receiving magnesium sulfate, the nurse should monitor several parameters to ensure patient safety and therapeutic effectiveness. These parameters include:

• Serum Magnesium Levels: To prevent toxicity, as low levels of Mg are reported in various conditions.
• Renal Function: Specifically, the urinary excretion of calcium and phosphorus, since Mg sulfate can affect these levels.
• Serum Calcium, Phosphorus, and Electrolytes: Including potassium and bicarbonate, to maintain acid-base equilibrium and watch for imbalances that might indicate complications.
• Cardiovascular Monitoring: Mg sulfate can affect blood pressure and heart function, necessitating close observation.
• Respiratory Function: As Mg sulfate can have respiratory depressant effects.

In addition to these parameters, the nurse should also monitor other electrolytes like sodium, potassium, and chloride, as imbalances can occur with the administration of Mg sulfate.