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 Failure
2) Excessive intake of Mg containing antacids
3) Mg sulfate administered for seizure

Question 3

Hypermagnesemia S/S

Answer 3

1) Diaphoresis
2) Decreased deep tendon reflexes, muscle weakness
3) Decrease LOC
4) Hypotension
5) Bradycardia
6) Respiratory Depression
7) Depressed nerve and muscle Fxn
8) 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 Mg
2) Closely monitor labs
3) ECG
4) Cardiac and Neurologic assessment
5) Monitor for Hyperkalemia

Question 6

Hypermagnesemia antidote

Answer 6

Calcium Gluconate IV