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Procardia, when used with magnesium sulfate infusion, can cause a neuromuscular blockade (paralysis). I have heard it explained simply, that you don't use procardia when the patient is on magsulfate because the procardia is a calcium channel blocker, and what is the antidote to magsulfate toxicity? Yep, calcium gluconate.
P.S. I work on an OB unit and that's how the docs explained it to us. Hope it makes a little sense!
theamberdawns
22 Posts
Hello everyone!!! I had a patient with preterm labor. we initially started terb subcut and and procardia po. a second dose of terb was given. still- patient contracted and contracted. so, magnesium was started. the physician also wanted to continue procardia. have any of you done this??? the am nurse freaked out on me and stated that the combo causes pulmonary edema... any thoughts?