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Hypomagnesemia
Immediate Questions
A. What are the patient's vital signs? Cardiac

arrhythmias including atrial fibrillation, ventricular tachycardia and ventricular fibrillation can occur.

B. Is the patient tremulous? Tremor, tetany,

muscle fasciculations, and seizures are all
associated with magnesium deficiency.
Determining the presence of these
neurologic problems will help guide the
urgency of treatment.

Differential Diagnosis

Hypomagnesemia can be caused
by medications, especially
diuretics, antibiotics (ticarcillin,
amphotericin B), aminoglycosides,
cisplatin, and cyclosporin, often
cause hypomagnesemia.
Alcoholism and reduced intake/
malabsorption also can cause
hypomagnesemia.

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