Hypermagnesemia

2. Diagnosis: Hypermagnesemia

3. Condition:

4. Vital signs: q6h. Call physician if QRS >0.14 sec.

5. Activity: Up ad lib

6. Nursing: Inputs and outputs, daily weights.

7. Diet: Regular

8. Special Medications:

-Saline diuresis 0.9% saline infused at 100-200 cc/h to replace urine loss AND

-Calcium chloride, 1-3 gm added to saline infusate (10% sln; 1 gm per 10 mL

amp) to run at 1 gm/hr AND -Furosemide (Lasix) 20-40 mg IV q4-6h as needed. -Magnesium of >9.0 requires stat hemodialysis because of risk of respiratory failure.

9. Extras: ECG

10. Labs: Magnesium, calcium, SMA 7&12, creatinine. 24 hour urine magnesium, creatinine.

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