Magnesium Sulfate

 

INDICATIONS:

 

  • Torsades de Pointes/persistent v-fib/v-tach
  • Digitalis induced ventricular arrhythmias.
  • As an anticonvulsant in eclampsia.
  • Suspected hypomagnesaemia
  • Severe exacerbtion of reactive airway

 

DOSAGE:

 

  • ADULT:

 

    • Reactive Airway Disease/Torsade's/V-tach/V-fib:

 

      • 2 grams (4 mL) IV/IO over 2-3 minutes

 

    • Eclampsia/Preeclampsia:

 

      • 4 grams  (8 mL) IV over  2-3 minutes:
      • 8 grams (16 mL) IM if an IV is unobtainable
      • 4 grams in each dorsogluteal muscle (upper buttock)

 

  •  PEDIATRIC:

 

    • Not Approved

 

CONTRAINDICATIONS:

 

  • Heart blocks
  • Anuria
  • Active labor
  • hypomagnesaemia

 

SIDE EFFECTS:

 

  • Hypomagnesaemia
  • Hypocalcaemia
  • Anuria
  • Heart block
  • Active labor