Professional Documents
Culture Documents
in Obstetrics
By Sneha Sehrawat
M.Ṣc Nursing Ist Year
Introduction
• Magnesium is an essential constituent of many
enzyme systems particularly those involved in
energy generation, the largest store are in the
skeleton.
• Magnesium salts are not well absorbed from the
GIT which explains its use as an osmotic
laxative.
• Magnesium is mainly excreted by the kidneys,
and is therefore retained in renal failure causing
muscle weakness and arrhythmias.
• Magnesium sulphate is use as
- a tocolytic agent as in Preterm labour
and Premature rupture of membranes.
- as an anticonvulsant in Severe Pre-
eclampsia and Eclampsia
Tocolysis
4-8mg/dl Therapeutic
9-12mg/dl Nausea, vomiting, flushing,
double vision, slurred speech,
weakness, loss of patellar reflexes,
somnolence, feeling of warmth
15-17mg/dl Muscular paralysis and respiratory
arrest
30-35mg/dl Cardiac arrest
• Anticonvulsant therapy for eclampsia