Info

Magnesium glu

500 mg/d (27 mg elemental mag

Electrolyte

Given when patient is

conate (Almora)

nesium) PO; oral preparations for mild/chronic hypomagensium: 240 mg elemental magnesium PO qd to bid; other preparations: Mag-Ox 400 and Uro-Mag; magnesium-containing antacids containing aluminum hydroxide and magnesium hydroxide (Mylanta or Maalox) if problem was not caused by chronic gastrointestinal (GI) loss (such as diarrhea)

replacement

mildly depleted (magnesium >1 mEq/L and patient is asymptomatic)

Independent

The patient's safety is of primary concern. Reorient the patient as necessary, and reassure both the patient and the family that mood changes and the altered level of consciousness are

490 Hyponatremia temporary and improve when magnesium levels return to normal. If neurological and muscle status places the patient at risk for injury, evaluate the patient's environment to limit risks for trauma. Symptoms of hypomagnesemia are similar to those of delirium tremens (DTs) in chronic alcoholism; if you suspect the patient of developing either DTs or hypomagnesemia, discuss the symptoms with the physician and monitor the magnesium levels to determine the cause of the symptoms.

Maintain seizure precautions for patients with symptoms and keep environmental stimuli to a minimum. Encourage active range-of-motion (ROM) exercises or perform passive ROM exercises several times a day to help prevent complications of inactivity. Dysphagia may also occur in these patients, and their ability to swallow should be assessed before giving them food or liquids. Encourage the intake of magnesium-enriched foods in small, frequent meals if the patient is suffering from inadequate nutrition. Keep the environment as pleasant as possible. Include the patient and family in meal planning, and request a nutritional consultation if necessary.

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