Hypermagnesemia

From Anvita Health Wiki

Contents 1 Etiology 2 Clinical-manifestations 3 Management 4 More General Terms 5 Additional Terms 6 References

Etiology

• uncommon in patients without renal failure
• excessive magnesium therapy for pre-eclampsia

Clinical-manifestations

• central nervous system

• somnolence
• depression of deep tendon reflexes ( DTR)
• paralysis of peripheral & respiratory muscles
• coma

• cardiac

• hypotension
• heart block
• arrhythmias
• cardiac arrest

Management

• intravenous calcium gluconate antagonizes effects of hypermagnesemia
• volume expansion with normal saline
• furosemide to enhance urine Mg+2 excretion
• dialysis in Mg+2- intoxicated patients with renal insufficiency

More General Terms

• sign/symptom

Additional Terms

• calcium gluconate
• magnesium (Mg+2) in serum

References

Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998

hypermagnesemia