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Hypomegnesia

Hypomagnesemia is defined as serum magnesium levels falling below 0.66 mmol/L, caused by decreased magnesium supply or loss. Clinical manifestations include seizures and malabsorption syndrome, particularly in neonates, and management involves magnesium salts rather than calcium or vitamin D. Nursing management requires monitoring various physiological parameters and serum magnesium levels to prevent complications such as hypotonia and cardiac arrhythmias.

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11 views4 pages

Hypomegnesia

Hypomagnesemia is defined as serum magnesium levels falling below 0.66 mmol/L, caused by decreased magnesium supply or loss. Clinical manifestations include seizures and malabsorption syndrome, particularly in neonates, and management involves magnesium salts rather than calcium or vitamin D. Nursing management requires monitoring various physiological parameters and serum magnesium levels to prevent complications such as hypotonia and cardiac arrhythmias.

Uploaded by

lintubabu0
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Definition

Hypomagnesemia occurs when serum concentrationsfall below 0.66mmol/L


(1.6mg/dL)

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ETIOLOGY

-Decreased mg supply

-Mg loss

CLINICAL MANIFESTATIONS

NEONATALPERIOD -

• Malabsorption syndrome

Intractable hypocalcemic

Seizures

Management (medical)

• Should not be treated with Ca.or Vit.D

• Mg. salts ----can be given


50% solution of MgSO4, 0.005 to 0.1 mL/kg (0.1 to 0.2 mmol/kg or 2.5 to 5.0
mg/kg)

slow IV 30-60 MIN

.Repeated doses-q 8-12 hrs

Concominant oral Mg suppl

if Mal absorption-1mg/kg/day PO (daily)

• Serum Mg. conc. Measured

Oral MgSO4 diarrhoea

are not well absorbed---

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• Well titrated

Nursing management

• Assessment

-fluid balances
-wt changes

-skeletal muscle strength (weakness)

-cardiac rhythm(arrythmia)

-cerebral func. (LOC)

-GI func(bowel sounds)

-neuro muscular excitability

• Monitor serum Mg. levels

• Monitor BP

• Monitor RR & depth

• Monitor deep tendon reflexes

• Admin. Drugs

• Monitor electrolyte balances

• Parent education

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Complications

• Hypotonia

Respiratory depression

Hypotension

Cardiac arrythmias

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