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NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name

magnesium  hydroxide  (41.7% Mg;  34.3 mEq  Mg/g)

Trade Name
Phillips Milk of Magnesia

mineral and electrolyte replacements/supplements , laxatives

Dose 30 ml

Route Po

Time/frequency q D PRN

Peak Unknown

Onset 3-6 hr

Duration unknown

For IV meds, compatibility with IV drips and /or solutions Nursing Implications (what to focus on) Contraindications/warnings/interactions none Common side effects

Mechanism of action and indications (Why med ordered) Constipation
Are osmotically active in GI tract, drawing water into the lumen and causing peristalsis

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) none

Lab value alterations caused by medicine Magnesium levels may be higher, and electrolyte levels may be different Be sure to teach the patient the following about this medication
Advise patient not to take this medication within 2 hr of taking other medications Advise patient that laxatives should be used only for shortterm therapy Encourage patient to use other forms of bowel regulation, such as increasing bulk in the diet, fluid intake, and mobility. Normal bowel habits are individualized; frequency of bowel movement may vary from 3 times/day to 3 times/wk

Nursing Process- Assessment (Pre-administration assessment)
Assess patient for abdominal distention, presence of bowel sounds, and usual pattern of bowel function Assess color, consistency, and amount of stool produced

Assessment Why would you hold or not give this med?
Administer on empty stomach for more rapid results. Follow all oral laxative doses with a full glass of liquid to prevent dehydration and for faster effect. Do not administer at bedtime or late in the day Electrolyte imbalance, or no longer constipated

Evaluation Check after giving
Relief of gastric pain and irritation Passage of a soft, formed bowel movement, usually within 3-6 hr Prevention and treatment of magnesium deficiency