Hypomagnesemia: Difference between revisions

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==Background==
==Background==
Low! Clinical
*HypoK, hypoCa and hypophos are often also present
==Diagnosis==
CNS
*Muscle weakness
*Ataxia
*Confusion
*Seizures
*Coma
GI
*Dysphagia
CVCardiovascular
*CHF
*Dysrhythmias
*Hypotension
Miscellaneous
*Hypokalemia
*Hypocalcemia
*Anemia


==Diagnosis==
#CNS (depression, vertigo, ataxia, seizures, inc DTR, tetany
#Anemia
#Hypotension
#Hypothermia
#Dysphagia


==DDX==
==DDX==
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==Treatment==
==Treatment==
Repleat 2gm IV over 2hrs (universal)
*Replete 2gm IV over 2hrs
**up to 8-12gm may be given on 1st day


==Source ==
==Source ==
2/12/06 DONALDSON (adapted from Tintinalli)
Tintinalli


[[Category:FEN]]
[[Category:FEN]]

Revision as of 05:43, 4 May 2011

Background

  • HypoK, hypoCa and hypophos are often also present

Diagnosis

CNS

  • Muscle weakness
  • Ataxia
  • Confusion
  • Seizures
  • Coma

GI

  • Dysphagia

CVCardiovascular

  • CHF
  • Dysrhythmias
  • Hypotension

Miscellaneous

  • Hypokalemia
  • Hypocalcemia
  • Anemia


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

  • Replete 2gm IV over 2hrs
    • up to 8-12gm may be given on 1st day

Source

Tintinalli