Hypermagnesemia

Question 1

Normal value

Answer 1

1.6-2.6

Question 2

Role

Answer 2

cell function transfer and storage of energy
regulates PTH ( ca levels)
Metabolizes carbs, lipids and proteins
Regulates BP
absorbed in small intestine
excreted via the kidneys

Question 3

causes

Answer 3

MAG
magnesium containing antiacids and laxatives ( mylanta and malox)
Addisons disease ( adrenal insuficiency)
Glomerular filtration insuficiency ( < 30 ml /min) renal failure kidneys keeping too much Mg

Question 4

S/S

Answer 4

LETHARGIC
Lethargy profound
EKG changes PR and QT interval prolongued, wide QRS complexes
Tendon reflexes absent/dimished
Hypotension
Arrhythmias (bradycardia, heartblocks)
Resp. Arrest
GI issues ( N&V)
Impaired breathing ( skeletal muscle weakness)
cardiac arrest

Question 5

Nursing Intervention

Answer 5

Monitor cardiac, resp, neuro, GI, renal
ensure pt. safety lethargic and drowsy
prevention: Avoid giving pt in renal failure
mag containing antiacids/laxatives
checking for Mg during mag sulfate infusions
foods high in mag
- avocado
-green leafy veg/pork
- dark chocolate
-fish ( canned tuna, mackerel)
- peanut butter
- oatmeal
-cauliflower
- legumes
- nuts
-oranges
- milk
MD order diuretics waste Mg ( loop and thiazide)
renal failure prep for dialysis
IV Ca ordered to reverese s/e of Mg
watch for inflitration central line prefered