The nurse administers injection MgSO4 to a women who is hospitalized with severe pre-eclampsia. What medication would the nurse have available to counter MgSO4 toxicity?The nurse administers injection MgSO4 to a women who is hospitalized with severe pre-eclampsia. What medication would the nurse have available to counter MgSO4 toxicity?  mcq given below:


Q. The nurse administers injection MgSO4 to a women who is hospitalized with severe pre-eclampsia. What medication would the nurse have available to counter MgSO4 toxicity?

(a) Sodium chloride
(b) Calcium gluconate
(c) Epinephrine
(d) Sodium bicarbonate

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๐Ÿคฐ Antidote for Magnesium Sulfate (MgSOโ‚„) Toxicity

โ“ Question: The nurse administers MgSOโ‚„ to a woman with severe pre-eclampsia. Which medication should be readily available to counter MgSOโ‚„ toxicity?

โœ… Answer: (b) Calcium Gluconate


๐Ÿ“– What is Pre-eclampsia?

Pre = Before
Eclampsia = Seizures related to pregnancy

๐Ÿ‘‰ Pre-eclampsia is a pregnancy complication characterized by:

  • High blood pressure (Hypertension)
  • Protein in the urine (Proteinuria)
  • Swelling (Edema) in many cases

If untreated, it can progress to eclampsia, causing seizures.


๐Ÿ’‰ Why is Magnesium Sulfate (MgSOโ‚„) Given?

Magnesium sulfate is the drug of choice to:

  • Prevent seizures
  • Treat eclamptic seizures

โš ๏ธ What is MgSOโ‚„ Toxicity?

Excess magnesium can depress the nervous and respiratory systems.

Signs of toxicity include:

  • Absent deep tendon reflexes (DTRs)
  • Respiratory depression
  • Low urine output
  • Cardiac arrest (severe toxicity)

๐Ÿ’Š Why Calcium Gluconate?

Calcium gluconate is the specific antidote for magnesium sulfate toxicity.

๐Ÿ‘‰ It reverses the effects of excess magnesium and should always be readily available whenever MgSOโ‚„ is administered.


โŒ Why Other Options Are Wrong?

(a) Sodium Chloride
โŒ Used for fluid replacement, not as an antidote for MgSOโ‚„ toxicity.

(c) Epinephrine
โŒ Used for anaphylaxis and cardiac emergencies, not magnesium toxicity.

(d) Sodium Bicarbonate
โŒ Used mainly to correct severe metabolic acidosis, not MgSOโ‚„ overdose.


๐Ÿง  Memory Trick:
MgSOโ‚„ Toxicity โ†’ Give Calcium Gluconate
Remember: “Magnesium Meets Calcium.”

๐Ÿ“Œ Disclaimer: For nursing exam preparation only. During MgSOโ‚„ therapy, always monitor respiratory rate, deep tendon reflexes, urine output, and keep calcium gluconate readily available.

๐Ÿ’š Exam Objective Nursing โ€“ Asha D
Concept clarity โ€ข Easy recall โ€ข Nursing success
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