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MAGNUM MAGNESIUM
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Hypomagnesium clinical manifestations
BUCK WILD! - NO SHERIFF
V-fib, tachycardia, T wave inversion
Increased DTR
Nystagmus
Diarrhea
Shallow respirations
Confusion, irritability
ALSO SAME AS HYPOCALCEMIA
Trousseus sign
Chvosteks sign
Hypomagnesium treatment/medications-
magnesium sulfate IV
magnesium supplements
Hypomagnesium diet/teaching
Eat more magnesium rich foods - leafy veggies, beans, lentils, almonds
Hypomagnesium priority nursing considerations
Monitor for signs of hypermag in case you overcorrect
Monitor respirations and LOC
Hypermagnesium clinical manifestations
CALM AND QUIET
decreased DTR
decreased RR
bradycardia, hypotension
hypoactive bowel sounds
heart block
Hypermagnesium treatment/medications
IV calcium gluconate
Ventilatory support
Loop diuretics, NaCl, Lactated Ringers
Hypermagnesium diet/teaching
Eat less mag rich foods
Hypermagnesium priority nursing considerations
Monitor DTR and RR
Have calcium gluconate on hand