Hypermagnesemia

Background

High >3.5

Diagnosis

  • 3.5 - Decr DTRs
  • 4 - Muscle weakness
  • 5 - Hypotension
  • 8 - Resp paralysis

DDX

  1. Renal failure
  2. Lithium
  3. Iatrogenic

Treatment

  1. IVF (NS)
  2. Lasix 20-40mg IVP
  3. Correct acidosis (NaBicarb iv nec)
  4. CaCl

Source

2/12/06 DONALDSON (adapted from Tintinalli)

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