MAGNESIUM

Question 1

Normal mg magnifian level is

Answer 1

1.3 to 2.3 mEq/L

Question 2

definition of mg

Answer 2

It acts as an activator for many intracellular enzyme systems.

Plays a role in both carbohydrate and protein metabolism

Magnesium balance is important in neuromuscular function.

Question 3

what is hypomagnesemia

Answer 3

Frequently associated with hypokalemia and hypocalcemia.

Question 4

causes of hypomagnesemia

Answer 4

alcoholism, GI losses, enteral or parenteral feeding deficient in magnesium, medications, rapid administration of citrated blood

Question 5

clinical manifestations of hypomagnesemia

Answer 5

Chvostek sign
Trousseau sign
apathy
depressed mood
psychosis
neuromuscular irritability
muscle weakness
tremors
ecg changes and dysthymia
SIGNS OF HYPOCALCEMIA

Question 6

medical management for hypomagnesemia

Answer 6

• Magnesium sulphate IV is administered with an infusion pump monitor vital signs and urine output

Oral magnesium

Question 7

nursing management for hypomagnesemia

Answer 7

Vital signs must be assessed frequently during magnesium administration.

Monitoring urine output is essential before, during, and after magnesium administration.

Calcium gluconate must be readily available to treat hypocalcemic tetany or hypermagnesemia.

Monitor for dysphagia

Seizure precautions

Dietary teaching

Question 8

how can you say that the patient in hypomagnesemia have a mg toxicity

Answer 8

I&O 100ml/4hrs

Question 9

What is hypermagnesemia

Answer 9

Rare electrolyte abnormality, because the kidneys efficiently excrete magnesium

Question 10

causes of hypermagnesemia

Answer 10

Causes: kidney injury, diabetic ketoacidosis, excessive administration of magnesium, extensive soft tissue injury

Question 11

clinical manifestations for hypermagnesemia

Answer 11

Hypoactive reflexes, drowsiness, muscle weakness, depressed respirations, ECG changes, dysrhythmias, and cardiac arrest

Question 12

medical management for hypermagnesemia

Answer 12

Focus on prevention.

✓ Client with renal failure should not take magnesium containing drugs.

✓ Promote urinary excretion by increasing fluid intake

IV calcium gluconate

Hemodialysis

Administration of loop diuretic, sodium chloride, and LR

Question 13

nursing management for hypermagnesemia

Answer 13

Monitor the vital signs, noting hypotension and shallow respirations, and check for respiratory depression

Observe for decreased deep tendon reflexes (DTRs) and changes in the level of consciousness.