Hypomagnesemia
Protocols
Clinical Features:
- Paresthesia, Ataxia
- Tetany, Seizure
- H/O Diarrhoea, Vomiting, Diuretics
on Examination:
- Pulse: (arrhythmia)
- Trousseau's Sign:
- Chvostek's sign:
Investigation:
- S. Magnesium
- S. calcium
- S. Albumin
- S. Creatinine
- S. Electrolyte
- ECG
- RBS
Rx :(hospital)
- Diet: Normal
If Asymptomatic and moderate (0.96mg/dl) with no vomiting:
- Tab. Magnito 325mg (1+1+1)
If symptomatic or with less K+/ less Ca2+:
If arrhythmia, tetany or convulsion:
- Inf. 4% Nalepsin 100ml
- 60 ml IV @90 d/min. (and reasess)
If mild symptom or resolving of arrhythmia,tetany or convulsion:
- Inf. 4% Nalepsin 100ml
- 100 ml IV @25 d/min. (Till Mg++ >1.2mg/d)
Aftet becoming Mg++ >1.2mg/dl
- Tab. Magnito 325mg (1+1+1)