Hi,

We were recently asked by a provider to add magnesium 5g/10mL vials to our crash carts and Pyxis cabinets in OB areas for preeclampsia patients who do not have IV access. The dose for preeclampsia IM is 10 grams.

Historically we have stocked the smaller vials 1g/2mL which can be used for IM injection if needed. We are hesitant to stock the larger concentrated vials in a crash cart or Pyxis. Will you please let me know what you stock for preeclampsia and where you store this?

Thank you,

Does anyone have a specific Nursing policy on the time frame they have to respond to a low electrolyte lab (K, Phos, Mg)?

One of the issues we have with our electrolyte (K,Mg,Phos) protocol orders is that the RNs do not act on the lab value in a timely manner. The question has come up, what exactly is a time window in which they can still act on an "old" lab value? Do you have a policy defining when the level is too "old" to act upon, do you recommend rechecking the level or getting a Physician order to proceed per the protocol despite the "age" of the level?