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[Blocked from Release] 0901201703

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Topic updated on 09/01/17 11:38am

HYPOmagnesemia HYPERmagnesemia
  • A 35-year-old known male alcoholic presents to the ER with EKG findings consistent with torsaded des pointes.
  • A 26-year-old female who is currently hospitalized for eclampsia becomes lethargic with decreased reflexes. EKG shows a prolonged PR and QT interval.
Introduction Introduction
  • Causes include
    • diarrhea
    • malabsorption
    • vomiting
    • diuresis
    • alcoholism
    • chemotherapy
  • Causes include
    • over replacement in renal failure patients
    • over replacement with seizure prophylaxis in preeclampsia patients
Presentation Presentation
  • Symptoms
    • torsades des pointes
    • v-fib
    • a-fib
    • hyperreflexia
    • tetany
  • Symptoms
    • lethargy
    • weakness
    • decreased DTR
    • paralysis
    • decreased BP and HR
Evaluation Evaluation
  • EKG findings
    • T wave widening
    • QRS widening
    • prolonged PR interval
    • prolonged QT interval
  • EKG findings (almost same as hypomag.)
    • prolonged PR interval
    • prolonged QT interval
Treatment Treatment
  • MgSO4
  • Calcium gluconate
  • normal saline infusion
  • loop diuretic
  • dialysis


  RATE CONTENT
4.0
AVERAGE 4.0 of 3 RATINGS

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