27 results
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Hypermagnesemia ... intake - Magnesium ... DrEricStrong #Hypermagnesemia ... #Table #Causes ... #Management
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
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hypercalcemia, Hypermagnesemia ... Hyperreflexia: • Delayed finding ... stroke, Delayed finding ... Hypocalcemia, Hypomagnesemia ... differential #diagnosis #table
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... Primary intestinal hypomagnesemia ... DrEricStrong #Hypomagnesemia ... Diagnosis #Low #Magnesium ... #Table #Classification
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... K; also binds magnesium ... Side Effects: Hypomagnesemia ... aspiration #Potassium #Binding ... #pharmacology #table
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
patient also has hypomagnesemia ... , replete magnesium ... Electrolyte #Repletion #management
Symptoms and Signs of Hypomagnesemia
Neuromuscular:
 - Tetany, Muscle weakness, Chvostek and Trousseau signs, Cerebellar (ataxia, nystagmus,
Symptoms and Signs of Hypomagnesemia ... Muscle weakness, Chvostek ... Hypocalcemia, Anemia #Hypomagnesemia ... #magnesium #Symptoms
Hypomagnesemia - Diagnosis and Management

Satyendra Dhar, MD @DharSaty

#Hypomagnesemia #Diagnosis #Management #magnesium #deficiency
Hypomagnesemia - ... Diagnosis and Management ... @DharSaty #Hypomagnesemia ... #Diagnosis #Management ... #magnesium #deficiency
Magnesium Deficiency and Alcoholism

Risks associated with Mg deficiency in alcoholism:
 • Affects protein synthesis. energy production,
Magnesium Deficiency ... related to the finding ... @DharSaty #Magnesium ... pathophysiology #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 ... 2.4 mg/dL Serum magnesium ... @DharSaty #Hypomagnesemia ... #Treatment #management