Hypermagnesemia

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)