Hypermagnesemia is a greater

than normal serum

concentration of magnesium.
 ÷ serum magnesium level can
appear falsely elevated when
blood specimens are allowed to
hemolyze or are drawn from an
extremity with a tourniquet that
was applied too tightly.
maxatives (Milk of Magnesia)
increases serum magnesium
levels

÷drenocortical insufficiency,
— ÷ (—iabetic eto ÷cidosis,
Excessive use of antacids (eg,
Maalox, Riopan, Mylanta)

Excessive magnesium
administration

Renal Failure
  

 ˜
 ˜

  

  
˜

SOFT TISSUE C÷mCIFIC÷TION

˜
  ˜

—rowsiness can
occur.

—eep tendon
reflexes are lost,
and muscle
weakness and
paralysis may
develop.
The respiratory center is depressed when
serum magnesium levels exceed 10
mEq/m (5 mmol/m). Coma,
atrioventricular heart block, and cardiac
arrest can occur when
the serum magnesium level is greatly
elevated and not treated.
 ˜
˜
    
v —id you take any laxatives?
v —o you feel experience nausea and
vomiting?
v Experiencing —ifficulty in speaking ?
v ÷ny Muscle Weakness and —rowsiness?
v ÷re there any signs in cognitive process?
Impaired
Sensory
process related
to increase
administration
of magnesium
v—eficient Fluid Volume
related to loss of fluids
and electrolytes in the
body
v÷ctivity intolerance
related to muscle
weakness
v = 
˜ 


 ˜ ˜


the serum
magnesium level is greater than2.5
mEq/m or 3.0 mg/dm (1.25 mmol/m).
ECG findings may include
v ÷ prolonged þ

 


  

 


 


÷ prolonged þ

 


  
 



 


!




demonstrate a prolonged QT
interval and atrioventricular blocks.
v ÷voiding the administration of
Medical Management
magnesium
v ÷ll parenteral and oral magnesium
salts are discontinued.
vVentilatory support and IV calcium are indicated.
vHemodialysiswith a magnesium-free dialysate can reduce
the serum magnesium to a safe level within hours.
v moop diuretics and 0.45% sodium
chloride (half-strength saline) solution
enhance magnesium excretion
v IV calcium gluconate
v (10 mm of a 10% solution) antagonizes
the neuromuscular effects of
magnesium.
  

v Calcium Gluconate is prescribed
v moop diuretics and 0.45% sodium chloride
(half-strength saline) solution enhance
magnesium excretion in patients with
adequate renal function.
 Nursing
v Monitors Management
the vital signs,
v Noting hypotension and shallow
respirations.
v The nurse also observes for
decreased patellar reflexes.
v Changes in the level of
consciousness
v Caution is essential when preparing
and administering
magnesiumcontaining
v fluids parenterally because available
parenteral magnesium solutions
(eg, 2-mm ampules or 50-mm vials)
differ in concentration.