Intravenous magnesium sulfate helps with asthma exacerbations!

Intravenous magnesium sulfate helps with asthma exacerbations!  I was the attending physician on the hospital service recently and had many children with respiratory distress present to the emergency room.  Many of them had RSV or influenza infections resulting in respiratory distress, but two of them had asthma exacerbations.  A literature review ensued for the most up to date treatment of asthma exacerbations and magnesium sulfate is a new addition to our pharmacotherapy.

It has been found that in an acute asthma exacerbation that has not responded to our first-line therapy (consisting of bronchodilators and steroids) often benefit from a dose of magnesium sulfate intravenous.  I fact hospital admission decreased by 68% patients 18 months to 18 years of age who were given magnesium sulfate.  Of note, the magnesium sulfate was only given if the bronchodilators and steroids were ineffective.  The studies showed no harm caused by magnesium sulfate.  It was a weight-based dose that was given once in the patient’s vein.

I love having one more medication in our arsenal to help asthmatics.

I hope this helps.img_2234-1

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About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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