Monitor renal function and cardiac function closely Keep calcium gluconate on hand in case of a magnesium sulfate overdose Monitor deep tendon reflexes hourly Monitor I and O’s hourly Notify the physician if urinary output is less than 30 ml per hour.
When caring for a client receiving magnesium sulfate therapy. the nurse would monitor maternal vital signs. especially respirations. every 30-60 minutes and notify the physician if respirations are less than 12. because this would indicate respiratory depression. Calcium gluconate is kept on hand in case of magnesium sulfate overdose because calcium gluconate is the antidote for magnesium sulfate toxicity. Deep tendon reflexes are assessed hourly. Cardiac and renal function are monitored closely. The urine output should be maintained at 30 ml per hour because the medication is eliminated through the kidneys.
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