Exam Questions and CORRECT Answers
Hypermagnesemia
-levels - CORRECT ANSWER - Mg > 2.2 - 2.4
3 broad etiologies of hyperMg - CORRECT ANSWER - 1. decreased elimination
2. increased intake
3. increased tissue breakdown
hyperMg etiology: decreased elimination
-4 causes - CORRECT ANSWER - 1. renal insufficiency 2/2 hypovolemia from vomiting,
diarrhea, or diuretics
2. addison's disease (adrenal insufficiency)
3. hypothyroidism
4. familial hypocalciuric hypoCa
hyperMg etiology: increased intake
-3 causes - CORRECT ANSWER - 1. Mg therapy
-premature labor, eclampsia, cardiac arrhythmias
2. laxatives/antacids
, 3. supplements
hyperMg etiology: increased tissue breakdown
-2 causes - CORRECT ANSWER - 1. rhabdo
2. trauma
-surgeries
-burns
when is hyperMg symptomatic?
-3 body systems affected - CORRECT ANSWER - when levels > 4-5 mg/dL
1. GI
2. neuromuscular
3. cardiovascular
symptomatic hyperMg
-neuromuscular
-cardiovascular
-GI - CORRECT ANSWER - neuromuscular
-decreased DTR
-flaccid paralysis
-respiratory failure
-lethargy
-blurry vision
cardiovascular
-hypotension