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Fluids and Electrolytes Demystified - part 7

Triệu chứng của hypomagnesemia có liên quan với hiếu động thái quá. Các triệu chứng của hypomagnesemia bao gồm chuột rút cơ bắp và yếu, nhịp tim bất thường, và run. Một số người kinh nghiệm co giật mắt và các cử động vô thức bất thường. Trong trường hợp nơi mà các mức magiê trở nên rất thấp | 130 Fluids and Electrolytes Demystified Many symptoms of hypomagnesemia are associated with hyperactivity. Symptoms of hypomagnesemia include muscle cramps and weakness abnormal heart rhythms and tremors. Some people experience twitching of the eye and abnormal involuntary movements. In cases where the magnesium levels becomes very low patients may hallucinate blood pressure and heart rate may increase and heart rhythm may become abnormal. Severe magnesium deficiency can cause seizures especially in children. Other symptoms include loss of appetite with possible weight loss stool containing a high fat content restlessness confusion and irritability. Ế5 The symptoms of hypomagnesemia are primarily neuromuscular and include Muscle tremor Tetany Hyperactive reflexes Ventricular irritability Premature ventricular contractions Ventricular fibrillation Anorexia Nausea and vomiting 3 NURSING IMPLICATIONS IN THE TREATMENT OF HYPOMAGNESEMIA The primary treatment for hypomagnesemia is oral supplementation and increased dietary intake of foods containing magnesium. Table 8-1 lists suggested dietary interventions. If the magnesium level is severely deficient supplementation is provided intravenously or by intramuscular injection. It is critical that the nurse monitor the magnesium infusion carefully because rapid administration can result in cardiac or respiratory arrest. 6 Conclusion Magnesium plays an important role in neuromuscular function affecting neuromuscular excitability. It is critical to life because it has an impact on cardiac CHAPTER 8 Magnesium Imbalances 131 T Table 8-1 Suggested Dietary Interventions for Hypomagnesemia Dark green vegetables such as spinach magnesium contained in the center of the chlorophyll molecule Nuts e.g. cashews and almonds including peanut butter Seeds Chocolate Some whole grains e.g. bran shredded wheat Variety of foods five servings of fruits and vegetables including baked potato with skin and oranges or bananas The magnesium content .