Magnesium Sulfate 4 g deep IM q 4˚

Magnesium sulfate

Anti-convulsants

Indication Mechanism Side Adverse effect Nursing consideration

of action effect
 To  May  None  CNS: drowsiness,  If used to treat seizures, take appropriate seizures
prevent or decrease depressed reflexes, flaccid precaution
control acethylcholine paralysis, hypothermia  Watch for respiratory depression and sign and
seizures in pre- released by symptoms of heart block
eclampsia or nerve impulses,  CV: hypotension,  Keep I.V. calcium gluconate available to reverse
eclampsia but its flushing, bradycardia, magnesium intoxification
anticonvulsants circulatory collapse,  Check magnesium level after repeated doses.
mechanism is depressed cardiac function Disappearance of knee-jerk and patellar reflexes
unknown is sign of impending magnesium toxicity
 EENT: diplopia  Signs of hypermagnesia begin to appear at levels
of 4 mEq/L
 Metabolic:  Effective anti-convulsants levels ranges from 2.5
Hypocalcemia to 7.5 each dose
 Monitor fluid intake and output. Make sure urine
 Respiratory: output is 100 ml or more in 4 hours period before
respiratory paralysis each dose
 Observe neonates for signs of magnesium
 Skin: Diaphoresis toxicity, including neuromuscular or respiratory
depression, when giving I.V. form of drug to
toxemic mother within 24 hours before delivery

Hyoscine Butylbromide 20 MG P.O. ,T.I.D.

Hyoscine Butylbromide –Buscopan

ANTI CHOLINERGICS
Indication Mechanism Side effect Adverse effect Nursing consideartion
of action
 spastic  inhibits  None  CNS: disorientation,  Raise side rails as a precaution because
states muscarinic restlessness, irritability, some patients become temporarily excited
actions of dizziness, drowsiness, or disoriented and some develop amnesia
acethylcholine headache, confusion, or become drowsy. Reorient patient, as
on autonomic hallucination, delirium, needed
effectors impaired memory  Tolerance may develop when therapy is
innervated by  CV: palpitations, prolonged
postganglionic tachycardia, flushing  Atrophine-like toxicity may cause dose
cholinergic  EENT: dilated pupils, related adverse reactions. Individual
neurons. May blurred vision, tolerance varies greatly
affect neural photopobia, increased  Overdose may cause curarelike effects,
pathways intraocular pressure, such as respiratory paralysis. Keep
originating in difficulty of swallowing. emergency equipment available
the inner ear to  GI: constipation, dry
inhibit nausea mouth, nausea, epigastric
and vomiting distress
 GU: urinary hesitancy,
urine retention
 Respiratory: bronchial
plugging, depressed
respiration