![]() Contraindications on the manufacturer’s drug label include 8. Absence of contraindications for magnesium sulfate are verified and documented.Several professional organizations, guidelines, and evidence reviews offer examples of maternal and fetal conditions that may be indications for use of magnesium sulfate. Criteria for use of magnesium sulfate are established. ![]() Standard criteria established for magnesium sulfate use. Key Perinatal Safety Elements Standardize When Possible (CUSP Science of Safety) A sample of how some of these key perinatal safety elements can be incorporated into a unit approach to safe magnesium sulfate administration is provided in the Appendix of this tool. Consider using preprinted orders, standing orders, and staff training to support implementation. Consider any existing facility policies or processes related to magnesium sulfate use. How to use this tool: Review the key perinatal safety elements with L&D leadership and unit staff to determine how the elements will be implemented on your L&D unit. Who should use this tool: Nurses, physicians, midwives, pharmacists, and other labor and delivery (L&D) unit staff responsible for the preparation and administration of magnesium sulfate during labor. The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP). Blood markers, electrolyte levels, and kidney and liver function will be monitored because all must be normal before your pet can be released from the hospital.Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. Fluid therapy via intravenous could be needed this may also include medications to promote a bowel movement, increase urine production, ease nausea, and stabilize blood calcium levels. The veterinary team may induce vomiting (which could bring up chew wrappers) or perform gastric lavage to flush out the stomach. In more severe cases of poisoning, such as in the case of hypercalcemia or kidney trouble, the veterinarian may need to commence more intensive treatment. If the signs of toxicity are relatively mild, blood tests are within normal ranges, and your dog appears stable, he may be sent home with instructions for you to monitor him for changes in behavior or health condition. What type of supplements were eaten, how much extra vitamin D3 and K are contained in the tablets, chews, or powder, and the severity of the signs will all be determining factors in the steps the veterinary team will take to treat your canine companion. The treatment steps will be contingent on the severity of the toxicosis. Kidney function can also be evaluated by blood tests like complete blood count (to look for anemia) as well as urinalysis to verify the urine concentration. Blood tests such as serum chemistry may reveal elevations in the blood of BUN (blood urea nitrogen), calcium, and phosphorous. If you have the calcium supplement packaging available bring it along to the clinic as the more information provided to the veterinary team, the better.Ĭlinical signs like frequent urination, information provided by you as to your pet’s history (previous illnesses, current medications, or knowledge of intake of supplements), and a physical examination will all add to the quick diagnosis by the veterinarian. If you suspect that your pet has consumed a large number of your calcium supplement chews or tablets, or if you have been adding supplements to his diet and notice that he is drinking excessively, is lethargic, or seems depressed, these signs along with other behavioral changes indicate that your dog should be seen by the veterinarian. Toxicity from the consumption of excessive amounts of Vitamin D3, as well as elevated blood calcium levels, can result. Care must be taken to not overdose a pet in this way as well.Ĭalcium supplement poisoning in dogs can occur when a canine ingests a large amount of this product for example, in the form of non-prescription calcium chews taken by people as an aid to boost their calcium. Some pet owners also choose to supplement their pet’s diet with calcium this is generally not necessary if proper food is the mainstay of the diet. Pets who have existing kidney issues, as well as young dogs, are more at risk of toxicity from eating calcium supplement chews. Excessive amounts can cause symptoms like vomiting, gastrointestinal irritation, and thirst. Vitamin D3 is usually included in supplements because it aids in the absorption of the calcium, allowing for the body to increase stores. As palatable to dogs as they are to people, our pets can ingest a large number of these chews, wrappers and all which can result in a case of toxicity. Cases of calcium supplements poisoning most often result when a canine family member discovers a supply of human calcium chews.
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