11 results
Magnesium Electrolyte Repletion
Oral - Only do if patient does not tolerate IV
 • Magnesium oxide (can
Magnesium Electrolyte ... tolerate IV • Magnesium ... 800mg PO daily • Magnesium ... #Electrolyte #Repletion ... #management #hypomagnesemia
Hypomagnesemia Treatment Protocol - Magnesium Repletion
Goal serum magnesium concentration 2.0-2.4 mg/dL
Serum magnesium concentration - IV Magnesium
Hypomagnesemia Treatment ... Protocol - Magnesium ... @DharSaty #Hypomagnesemia ... #Treatment #management ... #electrolyte #deficiency
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Potassium Electrolyte ... patient also has hypomagnesemia ... , replete magnesium ... #Potassium #Electrolyte ... #Repletion #management
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
metabolic) • E: Electrolyte ... fluid containing electrolytes ... SLEDD (Sustained low ... efficiency daily ... #managment #nephrology
Hypomagnesemia - Diagnosis and Management

Satyendra Dhar, MD @DharSaty

#Hypomagnesemia #Diagnosis #Management #magnesium #deficiency
Hypomagnesemia - ... Diagnosis and Management ... @DharSaty #Hypomagnesemia ... #Diagnosis #Management ... #magnesium #deficiency
Clinical Feature of Hypomagnesemia and Magnesium Deficiency
 • Electrolyte Disturbance: Hypokalemia, Hypocalcemia
 • Neuromuscular and central
Clinical Feature of Hypomagnesemia ... and Magnesium Deficiency ... • Electrolyte ... symptoms #Treatment #management ... #Magnesium #deficiency
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 • IHD (Intermittent HD):  3-5 hr
SLEDD (Sustained low ... efficiency daily ... correction of electrolyte ... #managment #nephrology ... #CRRT #Modes #modalities
Hypermagnesemia - Diagnosis and Management

Hypermagnesemia is a serum magnesium concentration > 2.6 mg/dL.
Symptoms include hyporeflexia, hypotension,
Hypermagnesemia ... Diagnosis and Management ... Hypermagnesemia ... Mineralocorticoid deficiency ... #Diagnosis #Management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... long QT Syndrome Electrolyte ... Abnormalities: Hypomagnesemia ... TdP First line: magnesium ... TorsadesdePointes #TDP #Management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Concomitant severe hy pomagnesemia ... Evaluation - Check magnesium ... el - Repeat electrolytes ... EKG) Consider magnesium ... #Hypokalemia #Management