Hypermagnesemia Treatment

Treatment of hypermagnesemia include symptomatic treatment and reduce blood magnesium concentration.

1. Symptomatic treatment. intravenous 10% calcium gluconate or calcium chloride can often alleviate the symptoms, dosage for calcium gluconate is 10 ~ 20ml, calcium chloride is 5 ~ 10ml, slow injection. Acetylcholine cholinesterase inhibitors can reduce the damage, so as to reduce hypermagnesemia caused by nerve - muscle joints to reduce excitability. Trial of the drug may have, such as neostigmine. Resuscitation, can be used to rescue patients with respiratory muscle paralysis.

2. Reduce blood magnesium concentration:

1) an increase in the discharge of urine magnesium: patients with normal renal function may be appropriate to add saline or glucose solution to correct dehydration, increase in the volume of glomerular filtration and accelerate from magnesium. Added at the basis of blood volume, the use of diuretics to increase urine magnesium from. Can be diuretics Thiazide diuretics and loop combination.

2) hemodialysis: renal insufficiency occurs when the application of hypermagnesemia are the indications for dialysis therapy, when renal insufficiency because hypermagnesemia, hypercalcemia often in combination, when the application of calcium treatment is not appropriate. However, attention to the use of dialysis liquid magnesium.

3) to strictly control the intake of magnesium: all Mg drugs must be disabled.