Paramedic treatment includes airway support, oxygen therapy, large-bore IV with NS TKO, cardiac monitoring and transporting the patient in the left lateral position. Seizure activity is typically treated with intravenous magnesium sulfate, 4 grams over three minutes.
What is magnesium used for in EMS?
Magnesium prevents or controls convulsions by blocking neuromuscular transmission and decreasing the amount of acetylcholine liberated at the end plate by the motor nerve impulse.
Why would a patient receive magnesium sulfate?
Magnesium sulfate injection is used to treat hypomagnesemia (low levels of magnesium in your blood). Magnesium sulfate injection is also used to prevent seizures in pregnant women with conditions such as pre-eclampsia, eclampsia, or toxemia of pregnancy.
Who should not take magnesium sulfate?
Do not use magnesium sulfate as a laxative without medical advice if you have: severe stomach pain, nausea, vomiting, a perforated bowel, a bowel obstruction, severe constipation, colitis, toxic megacolon, or a sudden change in bowel habits that has lasted 2 weeks or longer.
When should you not take magnesium sulfate?
Intravenous magnesium sulfate is considered first-line seizure prophylaxis for preeclampsia, reducing the risk of eclampsia by half. Absolute or relative contraindications to this medication include myasthenia gravis, severe renal failure, cardiac ischemia, heart block and pulmonary edema.
Can paramedics give magnesium?
The use of magnesium sulfate for treating asthma was first reported in 1938.12,13 Although not a primary therapy in the pre-hospital setting, it may prove useful in the severe asthmatic patient, and paramedics should be aware of this secondary potentially lifesaving treatment.
Why is magnesium sulfate used in asthma?
Magnesium sulfate is a bronchodilator. It relaxes the bronchial muscles and expands the airways, allowing more air to flow in and out of the lungs. This can relieve symptoms of asthma, such as shortness of breath.
Why would you give a patient magnesium?
Magnesium helps maintain a normal heart rhythm and doctors sometimes administer it intravenously (IV) in the hospital to reduce the chance of atrial fibrillation and cardiac arrhythmia (irregular heartbeat). People with congestive heart failure (CHF) are often at risk for developing cardiac arrhythmia.
What are the signs of magnesium sulfate toxicity?
Symptoms of magnesium sulfate toxicity are seen with the following maternal serum concentrations: loss of deep tendon reflexes (9.6-12 mg/dL) (> 7 mEq/L), respiratory depression (12-18 mg/dL) (> 10 mEq/L), and cardiac arrest (24-30mg/dL) (> 25mEq/L).
Can magnesium sulfate make you sick?
An overdose of magnesium sulfate can be fatal
Overdose symptoms may include nausea, vomiting, flushing (warmth, redness, or tingly feeling), feeling very hot, slow heart rate, extreme drowsiness, or fainting.
What are the benefits of magnesium sulfate?
Magnesium sulfate, sold as Epsom salt, is a mineral compound that’s used for different health and medical purposes. It’s taken orally for occasional constipation, and it’s also used as a soaking solution to help relieve pain caused by soreness, muscle aches, sprains, bruises, or other ailments.
Does magnesium hurt through IV?
Results: Pain during i.v. pretreatment with magnesium was 31% as compared to 2% for both the lidocaine and control groups (P < 0.05). Seventy-six percent of patients in the control group had pain during i.v. propofol as compared to 32% and 42% in the magnesium and the lidocaine groups respectively (P < 0.05).
What should I check before giving magnesium sulfate?
Before repeating administration of MgSO4, check that: – Respiratory rate is at least 16 per minute. – Patellar reflexes are present. – Urinary output is at least 30 mL per hour over 4 hours.