BSN Notes: Common Signs And Symptoms: Magnesium imbalance

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Magnesium imbalance

HYPOMAGNESEMIA
HYPERMAGNESEMIA
Causes:
·         Malnutrition
·         Alcoholism
·         Inadequate absorption: diarrhoea, vomiting, nasograstric drainage, fistula; diseases of small intestine
·         Excessive loss resulting from thiazide diuretics
·         Aldosteron excess
·         Polyuria

Causes:
·         Renal failure
·         Excess intake or parenteral intake of magnesium.

Signs and Symptoms:
·         Muscular tremors
·         Hyperactive deep tendon reflexes. o Confusion and disorientation o Dysrhythmias
·         Positive Chvostek's sign Trousseau's sign.
·         Serum magnesium level below 1.5 mEq/L      

Sign symptoms:
·         Hypoactive deep tendon reflexes.
·         Decreased depth and rate of respirations.
·         Hypotension
·         Flushing.
·         Laboratory findings:Serum magnesium level above 2.5 mEq/L


Management
Hypomagnesemia
·         Mild deficit treat with oral supplement and increase dietary intake.  
·         In severe cases parenteral administration of magnesium sulfate.
Hypermagnesemia
·         IV calcium Gluconate (10 rnL of a 10% solution) antagonizes the neuromuscular effects of magnesium.

·         Dialysis and loop diuretics

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notes.nursium.com: BSN Notes: Common Signs And Symptoms: Magnesium imbalance
BSN Notes: Common Signs And Symptoms: Magnesium imbalance
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