OB Magnesium Sulfate required to run with fluids?

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jgold@ismp.org

1 post / 0 new
Gregory Mak
Gregory Mak's picture
Offline
Last seen: 1 day 20 hours ago
Joined: 08/23/2021 - 11:42
OB Magnesium Sulfate required to run with fluids?

We recently had a potential error where a patient was recieiving mag (20gm/500mL) for pre-eclampsia who was also receiving maintenance fluids (LR) at the same time. The provider instructed nurse to turn of LR as the patient had a high urine output. Nurse was under the impression that magnesium must be infused concurrently with fluids to minimize irritation/infiltration. Our order sets/guidelines do not state this.

Have other institutions encountered this? It doesn't appear to be in any guidelines...is it just a best practice? I have not heard of this practice before.