MEDICATION-MAGNESIUM
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1. Important membrane stabilizer. Hypomagnesemia causes myocardial hyper-excitability, particularly in the presence of hypokalemia.
2. Causes of hypomagnesemia: diuresis, diarrhea, alcohol-abuse.
3. Indications: Torsade's de pointes, hypomagnesemia, hypokalemia, VF or VT refractory to DC shock, cardiac arrest A/W digoxin-toxicity.
4. SE: muscle weakness, paralysis, respiratory failure.
DOSAGE
5. 5-10 mmol bolus, infusion of 20 mmol over 4 hours.
Reference(s)
Gale, M., Grantham, H., Morley, P. and Parr, M. (2016). Advanced Life Support Level 1: 3rd Australian Edition. Australian Resuscitation Council.
American College Of Surgeons. Committee On Trauma (2012). ATLS : student course manual. Chicago, Ill.: American College Of Surgeons.
