Page |1

Lesson Plan
Subject Obstetrics Level of Moderate
Student
Topic Management of magnesium infusion Venue Class room
C. Midwifery Mehreen Anjam Number of
Teacher Students
Date

Sr.# Time Objectives Content Teaching Teaching Aids Evaluation

minutes Strategies
40 By the end of this session
the students will be able
to,
1. 5 Define megnesium Magnesium sulfate, Lecture White board
sulphate commonly known as
Epsom salt, is a
mineral. It works by
replacing magnesium
in the body and
increasing water in the
intestines.
2. 5 Explain the uses of The medicine can be Lecture White board
magnesium sulphate used intravenously
(through an IV) to
control seizures in
pregnant women and
certain children. It can
also be used to treat a
dangerous arrhythmia,
lower high blood
 Page |2

pressure, slow down

contractions during
labor
3. 10 Explore the category of Magnesium sulfate is a Presentation Over head Asking question
drug and its uses in pregnancy category D projector from students to
pregnancy drug, which means it know their level
could harm an unborn of understanding
baby. Magnesium
sulfate is the
anticonvulsant drug of
choice for the
prevention and
treatment of eclampsia
and pre-eclampsia.
“Magnesium sulphate
by infusion should
continue for 24 hours
after the last fit.”
“Prevention of
eclampsia in the
woman with
preeclampsia
4. 10 Know about the  Monitor (pulse, Presentation Projector
management of blood pressure,
Discussion
magnesium sulphate respiratory rate,
SpO2 and
 deep tendon patellar
reflexes
 Ensure the woman is
aware that a feeling
of warm flushing
may occur during the
loading dose
 Recheck
 Page |3

observations
including patellar
reflexes ten minutes
after the loading
dose was started and
at the end of the
loading dose 20
minutes
 Continuous fetal
monitoring from
26+0 weeks
gestation until
clinical review /
discussion by
medical staff.
Between 24 to 26
weeks gestation,
individualised
management with
regard to fetal
monitoring will be
considered
 Monitor blood
pressure, respiratory
rate, pulse oximeter
(SpO2), patellar
reflexes and urine
output 4 hourly
(insert urine catheter)
 If the urine output is
less than 100 mL
over 4 hours, check
magnesium levels
NOT be taken from
the arm receiving the
infusion
 Page |4

5. 10 Explore the side effects of  Diarrhea Presentation Projector The evaluation

the magnesium sulphate
 Upset stomach will be done
 Signs of an allergic after lecture by
reaction (rash; conducting
hives; itching; written test
breathing based on MCQs.
difficulties; chest
tightness; or
swelling of the
mouth, face, lips,
or tongue)
 Dizziness,
flushing, or
faintness
 Irregular heartbeat
 Muscle paralysis or
muscle weakness
 Severe drowsiness
 Sweating
 feeling of warmth,
flushing, nausea
and vomiting
 More serious
adverse effects
which indicate
hypermagnesaemia
are:
 Loss of deep
tendon reflexes
 Respiratory
depression
 Respiratory arrest
 Page |5

 Cardiac arrest

Assignment : Prepare the management plan of the patient receiving magnesium sulphate

References

Magnesium Sulfate (Epsom Salt) - Side Effects, Dosage, Interactions - Drugs. (2015, February 10). Retrieved from

https://www.everydayhealth.com/drugs/magnesium-sulfate

Magnesium sulphate for eclampsia prophylaxis (query bank). (2013, 12). Retrieved from https://www.rcog.org.uk/en/guidelines-

research-services/guidelines/magnesium-sulphate-for-eclampsia-prophylaxis---query-bank/

Magnesium sulphate for eclampsia prophylaxis (query bank). (2013, December 20). Retrieved from

https://www.sahealth.sa.gov.au/wps/wcm/connect/dbb027004ee4f22091c79dd150ce4f37/magnesium+sulphate+infusion+regi

men_27042016.pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE-dbb027004ee4f22091c79dd150ce4f37-lNuWtQI