RLE NCMA 219 Study Guide with Questions and Correct Answers
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Course
NCMA 219
Institution
NCMA 219
MAGNESIUM SULFATE ADMINISTRATION Principle of Medication Administration - Always assess a client's health status and obtain a medication history prior to giving any medication. The extent of the assessment depends on the client's illness or current condition, the intended drug, and the route of adm...
RLE NCMA 219 Study Guide with
Questions and Correct Answers
MAGNESIUM SULFATE ADMINISTRATION
Principle of Medication Administration ✅- Always assess a client's health status and
obtain a medication
history prior to giving any medication. The extent of the
assessment depends on the client's illness or current condition,
the intended drug, and the route of administration.
Right Medication ✅- The medication given was the medication ordered.
- 3 times of reading the medication
- The first time you check the drug is when you received it
from pharmacy
- The second time you check the drug is before opening the
drug or aspirate the actual medication
- The last time you read the medication is before giving it
to the patient
Right Dose ✅- The dose ordered is appropriate for the client. Know the
usual dosage range of the medication.
- Give special attention if the calculation indicates multiple
pills/ tablets or a large quantity of a liquid medication.
This can be an indication that the math calculation may be
incorrect.
- Double-check calculations that appear questionable.
Question a dose outside of the usual dosage range.
Right Time ✅- Give the medication at the right frequency and at the time
ordered according to agency policy.
- Medications should be given within the agency
guidelines.
Right Route ✅- Give the medication by the ordered route.
- Make certain that the route is safe and appropriate for the
client.
Right Client ✅- Medication is given to the intended client.
- Check the client's identification band with each
administration of a medication.
- Know the agency's name alert procedure when clients
with the same or similar last names are on the nursing
unit.
,Right Client Education ✅- Explain information about the medication to the client
(purpose, possible side effects, any precautions).
- No need to memorize all the factors of the medication,
alamin lang yung mga side effects na pwedeng
maramdaman ng patient para kapag nag tanong ang
family may maibibigay kang explanation. - Hal. laging natutulog yung pt. and nagsasabi
ang family
na lagi nalang syang tulog pero di nila alam dahil sa
gamot yun and nag tanong sayo, you can answer them
why.
Right Documentation ✅- Document medication administration after giving it, not
before.
- If time of administration differs from prescribed time,
note the time on the MAR and explain the reason and
follow-through activities (e.g., pharmacy states
medication will be available in 2 hours) in nursing notes.
- If a medication is not given, follow the agency's policy
for documenting the reason why.
- Kailangan ma document after ma administer yung gamot.
If ever na wala yung patient kase need mag pa x- ray
(example) need pa din ma document bakit late naibigay
yung gamot
- Minsan out of stock ang medication yun lang ilagay yung
sa chart ng patient hanggang sa magkaroon na mismo ng
med or sometimes nagbibigay ng prescription si Doc para
pamalit sa out of stock na med.
Right to Refuse ✅- Adult clients have the right to refuse any medication.
- The nurse's role is to ensure that the client is fully
informed of the potential consequences of refusal and to
communicate the client's refusal to the health care
provider
- After explaining all to the patient and he understood heads
up the Doctor para sya na mismo ang makikipag usap
- When the Doctor talked to the patient and he still refuse
you will give waiver para walang pananagutan ang
hospital kapag may nangyari sa patient.
Right Assessment ✅- Some medications require specific assessments prior to
administration (e.g., apical pulse, blood pressure, lab
results)
- Medication orders may include specific parameters for
administration (e.g., do not give if pulse less than 60 or
systolic blood pressure less than 100).
, - Hal. giving paracetamol, you need to check the
temperature of patient first, kahit mag sabi ang family na
mainit ang pt. you need to check pa din
- Do nursing intervention (TSB) or sometimes observe the
patient/client hal. yung baby mataas ang tempt at Nakita
mo dahil balot na balot sya so you assess.
Right Evaluation ✅- Conduct appropriate follow-up (e.g., was the desired
effect achieved or not? Did the client experience any side
effects or adverse reactions?).
- Response of the pt in administering medication
Magnesium Sulfate
Indications ✅• Convulsions - Intravenous Magnesium sulfate (MgSO4) is
indicated for immediate control of life-threatening convulsions
in the treatment of severe toxemias (pre-eclampsia and
eclampsia) of pregnancy and in the treatment of acute nephritis
in children.
• Hypomagnesemia (prophylaxis and treatment) - replacement
therapy in magnesium deficiency, especially in acute hypomagnesemia accompanied
by signs of tetany similar to
those of hypocalcemia.
• Used to prevent or treat magnesium deficiency in patients
receiving total parenteral nutrition.
• Tetany, uterine (treatment) - indicated as a myometrial
relaxant.
- this is to relax the smooth muscle (e.g., uterus and lungs)
Route of MgSO4 ✅• Intramuscular Route - 1 to 5 g (2 to 10 mL of 50% solution)
daily in divided doses (mabagal ang pag administer dapat)
• Intravenous (IV) Route - 1 to 4 g magnesium sulfate may be
given in 10% to 20% solution, but only with great caution; the
rate should not exceed 1.5 mL of 10% solution or equivalent
per minute until relaxation is obtained.
• Intravenous (IV) Infusion - g in 250 mL of 5% Dextrose
Injection at a rate not exceeding 3 mL per minute.
Side Effects ✅• Flushing
• Sweating
• Sharply lowered bp
• Hypothermia
• Stupor
• Respiratory depression (dapat di baba ng 12 ang rr)
Administration of MGSO4 ✅1) check RR, should be at least 12 breaths/min
2) UO, should be at least 100mL/hr
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