26 results
Causes of Hypermagnesemia
Increased magnesium load
 - Magnesium-containing laxatives, antacids, or enemas
 - Treatment of pre-edampsia/eclampsia (mothers
Causes of Hypermagnesemia ... Increased magnesium ... load - Magnesium-containing ... or enemas - Treatment ... Addison's disease) #Hypermagnesemia
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Hypermagnesemia ... intake - Magnesium ... DrEricStrong #Hypermagnesemia ... Diagnosis #High #Magnesium ... 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
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
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
Algorithm for Treating Constipation in Hospitalized Patients
1. Start with miralax daily, uptitrate to desired BM, consider
Give magnesium citrate ... instead of milk of magnesia ... Constipation #Algorithm #management ... #treatment #inpatient
Hypomagnesemia - Diagnosis and Management

Satyendra Dhar, MD @DharSaty

#Hypomagnesemia #Diagnosis #Management #magnesium #deficiency
Hypomagnesemia - ... Diagnosis and Management ... @DharSaty #Hypomagnesemia ... #Diagnosis #Management ... #magnesium #deficiency
Hypermagnesemia - Diagnosis and Management

Hypermagnesemia is a serum magnesium concentration > 2.6 mg/dL.
Symptoms include hyporeflexia, hypotension,
Hypermagnesemia ... Diagnosis and Management ... antacids, or enemas, Treatment ... Addison's disease) Treatment ... #Diagnosis #Management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Abnormalities: Hypomagnesemia ... Hypocalcemia (rarely) Treatment ... TdP First line: magnesium ... TorsadesdePointes #TDP #Management