HYPERMAGNESEMIA

BY: SANGEETA YADAV

M.Sc. NURSING FIRST YEAR 1
SPECIFIC OBJECTIVE
 Define Hypermagnesimia
 Describe the etiology of Hypermagnesimia
 Explain the clinical manifestation of Hypermagnesimia
 Describe the diagnostic evaluation
 Explain the management of Hypermagnesimia
 Complication of Hypermagnesimia
 Summary
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INTRODUCTION

HYPER MAGNES EMIA

Magnesium In
High Blood

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DEFINITION
◦Hypermagnesemia is a serum
magnesium level greater than 2.6
mg/dl.it is much less than
◦common than hypomagnesemia.

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 ETIOLOGY
 CKD and HD patients who are receiving MG containing drugs.
 Antacids and laxative users.
 Gastrointestinal disorder (eg,gastritis ,colitis etc)
 Lithium therapy ,
 Eclampsia.
 Addison’s disease.
 Depression
 Milk alkali syndrome
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DIAGNOSTIC TESTS
Blood Test

ECG

Arterial blood gas Test

Clincal Evalution of renal function with

urinary output.

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MANAGEMENT
◦ H – Hemodialysis (backup kidney takeout the
extra magnesium)
◦ I -IV Calcium gluconate (administration of
10%calcium gluconate 10 to 20 ml iv as per doctor’s order)
◦M –Monitor ( monitor the lab test reports and deep
tendon reflexes)

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CONTD…
Avoid the use of laxatives and
antacids containing magnesium.

 Intravenous diuretics and waterpills.

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COMPLICATIONS
◦Severe hypermagnesemia (levels greater than 12
mg/dL) can lead to cardiovascular complications
(hypotension and arrhythmias) and neurological
disorder (confusion and lethargy). Higher values
of serum magnesium (exceeding 15 mg/dL) can
induce cardiac arrest and coma.

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