Hypomagnesemia

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Background

Evaluation

Differential Diagnosis

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

Management

  • 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

References