buretrol for magnesium?

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I am new to this small facility. I informed the doctors that it would be safer to have pre-mixed bags of magnesium than the nurses mixing them. The bags that we are to get are 1000ml bags with 40gms of Magnesium. The doctors started talking about how concentrated this was and I had better write a procedure including the use of a buretrol to prevent overdose during the initial bolus. I was taken aback! The pre-mixed bags falls in line with their current protocol. I guess maybe they are having the nurses mix smaller bags for the bolus, however they don't have a policy stating this. I don't mind having the buretrol as an added safety feature, I was just surprised by the reaction. What is everyone else doing?

Specializes in 4 years peds, 7 years L and D.

Definitely worth looking into! We sit at the bedside for the entire bolus, but not for the maintenance dose...so peace of mind would be great. :monkeydance:

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Specializes in ob-gyne and OR nurse.

at the hospital where I presently work trhe ob doctors give 4gms mgso4 slow IV push for 15 mins then we nurses give magso4 5gms IM on each buttocks 30mins apart as a loading dose (but we have calcium gluconate on bedside and do dtr before giving mgso4) we dont have buretrol in ouyr area/hospital

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