Antepartum: Hypermagnesemia

Question 1

Magnesemia Normal Range

Answer 1

1.6-2.6 mEq/L (RN Notes, Davis)

Question 2

Hypermagnesemia causes

Answer 2

1) Renal Failure2) Excessive intake of Mg containing antacids3) Mg sulfate administered for seizure

Question 3

Hypermagnesemia S/S

Answer 3

1) Diaphoresis2) Decreased deep tendon reflexes, muscle weakness3) Decrease LOC4) Hypotension5) Bradycardia6) Respiratory Depression7) Depressed nerve and muscle Fxn8) Can lead to coma and cardiac arrest

Question 4

Hypermagnesemia has similar S/S as ___&____

Answer 4

???Potassium and calcium

Question 5

Hypermagnesemia: Nursing Management (If kidney’s are healthy)

Answer 5

1) IV, Fluids to increase excretion of Mg2) Closely monitor labs3) ECG4) Cardiac and Neurologic assessment5) Monitor for Hyperkalemia

Question 6

Hypermagnesemia antidote

Answer 6

Calcium Gluconate IV