Magnesium

Nota:

• Depresses Neuromuscular & CNS function

1. Severe

   Nota:

   • Bradypnea & Bradycardia
   1. Cardiac Arrest (Bradycardia/Hypotension)
   2. Respiratory
2. later stage
   1. DTR's lost
   2. Solmenence
3. Intial
   1. Lethargy
   2. N&V
4. Diaphrosesis
5. Decreased LOC

1. Increased Magnesium + Renal Insufficiency
2. Excessive Intravenous Magnesium
3. Magnesium Sulfate (Eeclampsia)

1. Chronic Kidney failure patients
   1. Teach danger of Mg. Containing Antiacids
   2. Dialysis
2. Normal Renal Function
   1. Diuretics

      Nota:

      • Furosemide
3. Limit Ingestion of green veggies, nuts, bananas, oranges, peanut butter, Chocholate)
4. Sever Hypermagnesium
   1. Calcium Gluconate

      Nota:

      • oppose effects of magnesium on Cardiac cells 
5. Monitor
   1. Decreasing LOC
   2. Report if the patient has absent DTR

1. Tetany
2. WATCH FOR: CONFUSION/ DEPRESSION & irritability, Nystagmus
3. Chvostek & Trousseau signs
4. Hyperactive DTR
5. Leg & Foot Cramping
6. CARDIAC dysrthmia
7. difficulty swallowing

1. Metabolic Acidosis
2. Malabsorption

   Nota:

   • inflammatory Bowel Disease
3. Malnutriton
4. Loop/thiazide diuretics
5. Muscle Excitability/ Tremors
6. Alcoholism

1. Foods High in Magnesium
2. If magnesium Sever or Hypocalcemia Present administer IV magnesium (infusion pump)
   1. Slowly (Prevent Cardiac & Respiratory Arrest) (<150mg/min)
   2. NEVER as IV bolus (cardiac arrest)
   3. check for decreased patellar reflexes, Respiratory difficulty & decreased Blood pressure! if these occur STOP!
3. Teach Magnesium Rich FOODs
4. ASSESS k+ & Ca+

   Nota:

   • Hypocalcemia &amp; Hypokalemia
5. Diuretics may be d/c
6. assess presence of dysphagia