Which medication should be kept at the bedside for a client receiving magnesium sulfate?

Keeping calcium gluconate at the bedside for a client receiving magnesium sulfate is essential due to the potential risk of hypermagnesemia, which can occur when magnesium levels become excessively high. Magnesium sulfate is often used in the management of conditions like pre-eclampsia or eclampsia during pregnancy, but it can lead to side effects such as respiratory depression, decreased cardiac function, or other neuromuscular issues if not monitored and managed properly.

Calcium gluconate serves as an effective antagonist to magnesium's effects. If a patient starts to exhibit signs of magnesium toxicity, such as decreased or absent deep tendon reflexes, respiratory depression, or cardiac arrhythmias, calcium gluconate can be administered to counteract these effects. Therefore, having it readily available at the bedside allows for prompt treatment in the event of an adverse reaction, leading to improved patient safety and outcomes.

Other medications and equipment, while important in various contexts, do not directly counteract the effects of magnesium sulfate or address the specific concerns associated with its administration. For instance, oxygen may be important for respiratory support, but it does not neutralize magnesium's effects. Similarly, naloxone is used primarily for opioid overdose, and suction equipment is typically for airway management