This page is dedicated to discussing how to manage hypermagnesemia. This condition is characterized by a serum magnesium concentration of >2.2 mEq/L. Guides on managing other electrolyte abnormalities can be found here.
OPTIONS FOR MANAGING THIS ELECTROLYTE ABNORMALITY
In the case of hypermagnesemia there are finite options that can be utilized to correct the issue. These options are listed below:
- Isotonic saline (i.e. normal saline): this can increase the rate of renal magnesium excretion.
- Intravenous infusion of calcium (calcium gluconate): antagonizes neuromuscular actions of magnesium.
- Dialysis: reserved for patients with hypermagnesemia especially in the setting of severe renal failure.
SPECIFICS REGARDING ELECTROLYTE CORRECTION
Page Updated: 01.28.2017