Maintain the patient's airway, breathing, and circulation until the magnesium levels return to normal. Have emergency airway equipment and a manual resuscitator bag at the patient's bedside at all times. Keep a working endotracheal suction present. Maintain patient safety measures. Reassure the patient and significant others that the patient's neuromuscular status will return to baseline with treatment.

Educate the patient with chronic renal failure to review all over-the-counter medications with the physician and pharmacist before use. These medications include vitamin supplements that contain minerals because these usually contain magnesium. Provide a list of common magnesium-containing medications that the patient should avoid.

454 Hypernatremia

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