Zusammenfassung der Ressource
Magnesium
- Hypermagnesemia
- Signs & Symptoms
Anmerkungen:
- Depresses Neuromuscular & CNS function
- Severe
Anmerkungen:
- Bradypnea & Bradycardia
- Cardiac Arrest
(Bradycardia/Hypotension)
- Respiratory
- later stage
- DTR's lost
- Solmenence
- Intial
- Lethargy
- N&V
- Diaphrosesis
- Decreased LOC
- Causes
- Increased
Magnesium +
Renal Insufficiency
- Excessive
Intravenous
Magnesium
- Magnesium
Sulfate
(Eeclampsia)
- Interventions
- Chronic Kidney failure patients
- Teach danger
of Mg.
Containing
Antiacids
- Dialysis
- Normal Renal Function
- Diuretics
Anmerkungen:
- Limit Ingestion of green
veggies, nuts, bananas,
oranges, peanut butter,
Chocholate)
- Sever Hypermagnesium
- Calcium Gluconate
Anmerkungen:
- oppose effects of magnesium on Cardiac cells
- Monitor
- Decreasing LOC
- Report if the patient has absent DTR
- Hypomagnesemia
- Signs & Symptoms
- Tetany
- WATCH FOR:
CONFUSION/
DEPRESSION &
irritability, Nystagmus
- Chvostek & Trousseau signs
- Hyperactive DTR
- Leg & Foot
Cramping
- CARDIAC dysrthmia
- difficulty swallowing
- Causes
- Metabolic Acidosis
- Malabsorption
Anmerkungen:
- inflammatory Bowel Disease
- Malnutriton
- Loop/thiazide diuretics
- Muscle Excitability/ Tremors
- Alcoholism
- Interventions
- Foods High in
Magnesium
- If magnesium Sever or
Hypocalcemia Present
administer IV magnesium
(infusion pump)
- Slowly (Prevent Cardiac & Respiratory
Arrest) (<150mg/min)
- NEVER as IV bolus (cardiac arrest)
- check for decreased patellar reflexes,
Respiratory difficulty & decreased Blood
pressure! if these occur STOP!
- Teach Magnesium Rich FOODs
- ASSESS k+ & Ca+
Anmerkungen:
- Hypocalcemia & Hypokalemia
- Diuretics may be d/c
- assess presence of dysphagia
- 1.5-2.5mEq/L
- Normal Lab value does not
mean appropriate Mg Levels
are in the ICF. Highly
interrelated with K+ & Ca+
- Look at Ca+, Mg+ & K+ Together