Hypocalcemia/ Tetany     decrease calcium level      normal value is 9.0 – 10.5 mg/100 ml  Signs and Symptoms     tingling sensation     paresthesia     numbness     (+) Trousseau’s sign/ Carpopedal spasm     (+) Chvostek’s sign  Complications   Arrhythmia   Seizures  Nursing Management     Calcium Gluconate per IV slowly as ordered  * Calcium Gluconate toxicity – results to SEIZURE     Calcium gluconate is also the antidote for Magnesium Sulfate toxicity > [B.U.R.P]     S/S …

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nurse-with-a-smile: Hypermagnesemia: Risk Factors: Renal failure Excessive Mg++ therapy Adrenal insufficiency Laxative abuse Manifestations: Magnesium > 3.0 mEq/L Hypotension Drowsiness Decreased DTRs Bradycardia Bradypnea Coma Cardiac arrest Interventions: Decrease intake IV calcium gluconate Mechanical ventilation Temporary pacemaker

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Hypomagnesemia: Risk Factors: GI loss Alcoholism Diuretics Pancreatitis Hypocalcemia Hypokalemia Insulin resistance DKA Manifestations: Magnesium < 1.8 mEq/L Tetany, cramps Increased DTRs Paresthesia Dysrhythmias Trousseau’s sign Chvostek’s sign Agitation, confusion Interventions: Seizure precautions Assess for difficulty swallowing Correct underlying cause IV magnesium Teach food sources NOTE: monitor for signs of magnesium toxicity with IV replacement and treat with calcium gluconate

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from Walgreens

Mason Natural Magnesium Gluconate, 550mg, Tablets - 100 ea

Risk Factors: Renal failure Excessive Mg++ therapy Adrenal insufficiency Laxative abuse Manifestations: Magnesium 3.0 mEq/L Hypotension Drowsiness Decreased DTRs Bradycardia Bradypnea Coma Cardiac arrest Interventions: Decrease intake IV calcium gluconate Mechanical ventilation Temporary pacemaker

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Magnesium Sulfate Toxicity - Antidote is calcium gluconate

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