pls help me solve this... thank you!

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Problem: Give magnesium sulfate5 grams deep IM in each buttocks. The stock is 10ml ampule at 250 mg/ml. How much will you prepare for each buttocks?

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Specializes in Emergency.

What do YOU think the answer is? We are more than happy to help you understand but the folks on this board will not do your homework.

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Specializes in Vents, Telemetry, Home Care, Home infusion.

Moved to our Nursing Student Assistance forum

Determine

1. Dose 5 grams = how many mg

2. What is maximum amount drug to give via IM injection.

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This can't be right. The volume is too big for IM even in divided doses. Can you check your dose?

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Specializes in NICU.

That would be an awfully large syringe. It must be one of those orders that you see in cartoons with the huge syringe and 4 inch needle.

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Eclampsia; Treatment and Prophylaxis: initial, 4 to 5 g in 250 mL of D5W or NS given IV AND simultaneous IM doses of up to 10 g of undiluted 50% magnesium sulfate solution (5 g in each buttock)

From micromedex...just an example of dosing for Adults

This would have to be given in several injections I think.

You would have to give at least 4 injections

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Specializes in Pedi.

I feel bad for the patient on the receiving end of these injections. Um... WOW.

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I feel bad for the patient on the receiving end of these injections. Um... WOW.

Me too, It looks like eclampsia is the main reason to give IM Mag. Its probably situational as there is no increase in efficacy depending on route.

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I'm not gonna help here but say that when I had these types of questions in school, part two would be critical and ethical thinking in regards to the answer you came up with, I.e is it appropriate and what are you going to do about it?

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Specializes in Going to Peds!.

Me too, It looks like eclampsia is the main reason to give IM Mag. Its probably situational as there is no increase in efficacy depending on route.

Thank goodness for iv mag! (Spent >24hrs after my first on a mag drip. Still wasn't fun.)

Sent from my HTC One X using allnurses.com

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
This can't be right. The volume is too big for IM even in divided doses. Can you check your dose?

This is what drives me NUTS!!!!!!!!

Nursing programs have every opportunity to teach proper pharmacology in the dosages class by emphasizing the proper dosing of meds instead of these bizarre math questions. It shows me a few things

1) The nursing instructors are too lazy to ensure correct dosage is applied to the problem

AND

2) The nursing instructors despite their advanced degrees lack the clinical expertise to know the correct/real life dosage themselves

which is sad......

OR MAYBE

3) They are trying to teach you critical thinking skills to know when to say,,,this isn't right.

OP .........

Problem: Give magnesium sulfate5 grams deep IM in each buttocks. The stock is 10ml ampule at 250 mg/ml. How much will you prepare for each buttocks?
we are happy to help with homework but we will NOT do it for you. Our goal is to help you understand the math......NOT give you the answer. I need to see what you don't understand.

Show us your work and we will be happy to help.

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Specializes in ED; Med Surg.

It drove me crazy all the way through Esme, both because they stressed giving the correct dose, AND gave us these crazy questions where we had no way to actually learn what the correct dose was. I look everything up now but it would have been nice to at least have an idea of what average doses were for meds.

OP, this is a really basic med math question...you sure you need help?

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