Nursing Management Medical Management Cannot be excreted:

• Monitor vital signs (hypotension & shallow respirations) • Ventilatory Support and IV Profound fluid volume
• Should observe for decrease DTRs and changes in level of Calcium Gluconate (respiratory depletion & oliguria
consciousness depressed) Renal Failure
• Medications containing medications must not be • Hemodialysis w/ magnesium-
Catabolism:
administered on patient with renal failure or compromised free dialysate
• Administration of Loop
Untreated diabetic Release of
renal function cellular
• Caution in preparing and administering magnesium– Diuretics, Sodium Chloride, and ketoacidosis
magnesium
containing fluids Lactated Ringer’s IV Solution
Excessive Treat hypertension in
Assessment and Diagnostic Findings magnesium pregnancy or
• Laboratory Analysis
administration hypomagnesemia
magnesium level > 2.3mg/dL MAGNESIUM EXCESS Causes
• ECG findings Extensive soft
prolonged PR interval
(Hypermagnesemia) Patients with trauma,
tall T wave tissue injury shock, sepsis, cardiac
or necrosis arrest, severe burns
widened QRS depresses the CNS
prolonged QT interval
depresses the peripheral
• Delayed thrombin formation neuromuscular junction Lithium Intoxication
• Platelet Clumping Higher magnesium
• Cardiac Arrest Decreased elimination
concentrations Mildly increased levels Intestinal
• Atrioventricular Heart Block of magnesium or
clinical symptoms: clinical symptoms:
• Coma • Lethargy Hypomotility increased absorption
• Lowered blood of magnesium
• Difficulty pressure
Not treated speaking • Nausea Excessive use of magnesium-based
(dysarthria) • Vomiting
If magnesium levels • Drowsiness antacids (Malox, Riopan), Laxatives
• Weakness
exceed 10mEq/L • DTRs lost • Soft tissue (Milk of Magnesia), medications
• Depressed • Muscle calcifications that decrease GI motility (opioids
Respiratory weakness • Facial flushing & anticholinergic)
Center • Paralysis • Sensations of warmth
Legends:

Electrolyte Imbalance

Medical Management

Nursing Management

Assessment and
Diagnostic Findings

Clinical Symptoms

Pathophysiology
(Causes of Imbalance)

Process

Dhaneanne Marie L. Chan