Hypermagnesemia

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Background

High >3.5


Diagnosis

3.5 dec DTRs

4 muscl 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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