Hypomagnesemia: Difference between revisions

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==Treatment==
==Treatment==
*Replete [[Magnesium]] 2gm IV over 2hrs
*Serum level >1.7
**up to 8-12gm may be given on 1st day
**No treatment
 
*Serum level 1.2-1.7
 
**Asymptomatic
*Replete if serum level <1.7
***Oral repletion with magnesium oxide 400mg PO
*Usual dose is 2g over 1 hour
****Magnesium oxide 400mg = 2g of [[MgSO4]]
*If level <than 1.2, double the dose
**Symptomatic (or no POs)
*Oral repletion may done if level is >1.2 and pt is asymptomatic
***2g [[MgSO4]] IV over 1 hour
*Magnesium oxide 400mg is approximately equal to 2g of MgSO4
*Serum level <1.2
 
**4g [[MgSO4]] IV over 2 hours


==See Also==
==See Also==

Revision as of 07:29, 18 December 2013

Background

Diagnosis

DDX

  1. ETOH
  2. Malnutrition
  3. Cirrhosis
  4. Pancreatitis
  5. S/P DKA
  6. GI loss (esp diarrhea)
  7. Renal wasting
    1. Furosemide
    2. Hypophosphatemia

Treatment

  • Serum level >1.7
    • No treatment
  • Serum level 1.2-1.7
    • Asymptomatic
      • Oral repletion with magnesium oxide 400mg PO
        • Magnesium oxide 400mg = 2g of MgSO4
    • Symptomatic (or no POs)
  • Serum level <1.2

See Also

Source

Tintinalli