magnesium

Question 1

magnesium

Answer 1

body’s 2nd most abundant cation

Question 2

normal serum levels (mag is really low)

Answer 2

1.5 - 2 mEq/L

Question 3

magnesium important for (same as Na)

Answer 3

muscle activity, neuortransmission, and mycardial.

Question 4

1/3 to 1/4 is bound to (maggie loves protein)

Answer 4

protein. protein values therefore affect magneisum values

Question 5

mag is absorbed and excreted where?

Answer 5

absorbed by GI tract and excreted by kidneys.

Question 6

hypomagnesemia causes - just eating, but what about iv solutions? (little maggie is not inside the dextrose IV)

Answer 6

inadaquate intake (rare for most ppl, but ppl who are NPO need it. there is no Mag in dextrose or saline solutions or lactate)

Question 7

GI disorders cause hypo or hyper? And ex. of what disorders…

Answer 7

hypomagnesemia, ex cancer, pancratic and colitis.

Question 8

hypomagnesemia increase GI or urinary loss how? And who gets it? THINK - it’s absorbed in the GI, so…(Little Maggie is an alchy who vomits and gets ng suctioning)

Answer 8

prolonged vomiting, nasogastric suctioning, and diruetics, alcoholics get it a lot.

Question 9

mag is moved into cells how?

Answer 9

with insulin. usually move into new cells, which can cause hypomagnesemia

Question 10

hypomagnesemia - what other mineral do you need to monitor?

Answer 10

calcium, this is what you’ll see.

Question 11

hypomagnesemia manifestations (sheriff is gone - ppl twitching and digs)

Answer 11

muscle twitching, convulsions, tetany, HTN, digatalis

Question 12

hypomagnesemia treatment - what foods to eat?

Answer 12

encourage foods like cheese, leavy greens, avacado, nuts, fish. may do IV magnesium.

Question 13

monitor I/O when

Answer 13

doing IV mag.

Question 14

hypermagnesia causes (moon face messes with big maggie and her kidneys)

Answer 14

renal failure and addisons disease (not enough cortisol and aldosterone, creates low bp).

Question 15

hypermagnesia clinical manifestations - think same as calcium and potassium (big maggie slows and breaks my heart)

Answer 15

neuormsuclar and cardiac. weakness, lethargy, flushing, hypotension and bradycardia.

Question 16

nursing intervention for hypermagnesemia (big maggie need apical, too)

Answer 16

assess nuero, dtr, apical heart rate. safetly measure, call light and don’t get out of bed w/out assistance. can cause weakness

Question 17

if kidney functions are ok, with hypermagnesemia, dr may order (salt calms the sheriff)

Answer 17

sodium chloride to promote excretion of mag.

Question 18

hypermagnesemia - what meds to treat it? (big maggie hospital)

Answer 18

calcium gluconate to counter cardiac effects of increased Mag. may need dialysis if treatments fail.

Question 19

hypomagnesia - how to infuse magnesium and what to assess? (maggie is not free, needs a few hours to IV)

Answer 19

Don’t infuse free flow, 1000ml bag over a few hours. use a volutroll. assess for mag toxcitity, VS, lung, DTR, and mag levels.

Question 20

antidote for hypermagnesium? (maggie’s antidote is glue - maggie hospital)

Answer 20

Calcium gluconate is antagonist (antidote)

Question 21

causes of hypermagnesium - cutting the cells and ingesting too much? (M for maalox and magnesium)

Answer 21

tumor lysis syndrome. anything inside the cell. may overuse over the counter, maalox.

Question 22

what makes me french? (maggie milk is french)

Answer 22

calcium and magnesium

Question 23

Eat a big maggie during labor

Answer 23

increased ingestion in labor and delivery hypermagnesemia

Question 24

digoxin (too much milk and not enough maggie, can you dig?

Answer 24

hypomagnesmia and hypercalcemia