HYPOMAGNESEMIA

Hypomagnesemia
 Electrolyte imbalance
 Below normal serum Mg conc.
 More frequent than hypermagnesemia
 Inc. neuromuscular irritability and contractility
 Chronic Mg depletion is accompanied by
hypercalcemia
 Chronic alcoholism
Causes:
• Too little Mg in the diet

• Renal damage

• Drugs/ medicines

• Endocrine d/o

• Pregnancy

• Alcohol withdrawal

• Adm. of parenteral nutrition

Other contributing causes:
 Sepsis

 Burn

 Hypothermia

Route for Mg loss may occur in:

 Diarrhea

 Intestinal fistula

 Nasogastric suction
Clinical Manifestations:
 Neuromuscular irritability w/ tremors

 Inc reflexes, tremors, convulsions

 (+) Chvostek’s sign

 (+) Trousseau’s sign

 Tachycardia

 Elevated BP

 Dysrhythmias

 Disorientation/ confusion

 vertigo
Nursing Interventions:

 Assess clients receiving digitalis

 Assess clients ability to swallow
 Initiate safety measures
 Carefully administer Mg salts
 Encourage Mg-rich foods
 Refer client for alcohol tx programs
Made By: King Trinidad