#hypomagnesemia

[mission-to-dietitian]

Chvostek's sign is found in tetany. However, it may also be present in hypomagnesemia.

[garr9988]

So I’ve been on Omeprazole for a few weeks now to treat some gastritis and recently-discovered Barrett’s esophagus, and for the past 3 days I’ve developed some muscle spasms that last hours in my leg and face (not both at the same time, at least).

Apparently that’s a symptom of magnesium deficiency (hypomagnesemia), which can result from taking PPIs like Omeprazole. Oral magnesium supplements may or may not always treat the issue, from the reports I’ve read, but discontinuing the PPIs should.

Problem is, I need the Omeprazole even after the gastritis is gone because of the Barrett’s, and it seems likely I’ll be taking that for quite a while, so now I have to worry about hypomagnesemia in addition to all the other side-effects of prolonged PPI use like kidney failure. On top of that, discontinuing PPIs can lead to a surge in the production of stomach acid, which is painful and could worsen my Barrett’s.

So... what the hell am I supposed to do right now? What do I do for the rest of my life?

[chimaeracabra]

[mcatmemoranda]

The pt had toxic shock syndrome and they asked what ion problem could have facilitated the infection. I had no idea. Wtf?

The patient most likely has toxic shock syndrome. The rash on her palms and soles is most likely scarlatiniform rash. Low magnesium ion concentration has most likely caused heavy growth of toxin-producing staph aureus. Note that it is postulated that tampons absorb various ions and in particular magnesium. Low magnesium concentration, in turn, promotes heavy growth of Staph aureus.

[naturesonlyiran]

امپرازول چگونه می تواند خستگی ایجاد کند بیماران که به مدت سه ماه مصرف داروهای گوارشی گروه مهارکننده پمپ پروتون مثل امپرازول, پنتوپرازول و .... را می کنند، در معرض خطر پایین سطح منیزیم (هایپومنیزیمی) قرار دارند که می تواند سبب از بین رفتن اشتها، خستگی و ضعف در میان علائم دیگر شود. #fatigue #hypomagnesemia #protonpumpinhibitor #ppi #weakness #lowlevelsofmagnesium #doublebull https://www.instagram.com/p/BwJrzXdB4x8/?utm_source=ig_tumblr_share&igshid=oqoxy4egyhwf

[rose-buns-blog]

I have reoccurring hypokalemia-low potassium- which doesn't sound very bad and really isn't very bad... until I have a drop in magnesium. . Then shit gets real real fast. . Last night my potassium and magnesium levels shot down what I can only assume was a severe amount because it got pretty scary. First a type of paralysis hits my limbs, my fingers and toes go numb and curl in close to my body. My mind goes blank and I have an extremely hard time speaking or completing any thoughts out loud. My muscles all begin to twitch and spasm making it look as though I'm seizing or stroking. My stomach is unbearably pained and sometimes my heart feels like it's skipping beats. This all comes in waves as my kidneys try to pump potassium that isn't there into my bloodstream. . I can only imagine how it looks from an outsiders viewpoint. I've been told its quite shocking and scary. Thankfully last night zebb was with me and carefully helped feed me doses of potassium and magnesium supplements until my spasms stopped and I could speak again. . This morning I'm feeling all the awful aftereffects and hoping the oral supplements were enough. Its incredible how something so seemingly insignificant can create such an incredible reaction. Hopefully this time around I do a better job at taking my supplements and never let myself get dehydrated to this point again. . So here's a gentle reminder to TAKE CARE OF YOURSELF. Seriously. Take the time to drink water, take vitamins, get some exercise, spend some time alone listening to your body's needs, or do whatever you do to nurture your mental health. Just please don't hesitate thinking you have time later, you might not. . #hypokalemia #hypomagnesemia #lowpotassium #health #takecareofyourself (at Esther Simplot Park)

[was-a-mistake]

Hypomagnesemia is a dealbreaker.

[nursestudy]

The effects of magnesium and the heart

The effects of magnesium and the heart

Here is a quick 5 minute video explaining the effects of Magnesium on the heart.

Enjoy :)

[mcatmemoranda]

48% of magnesium is in bone. Another 49% is in cells. 2% is in serum. Replete Mg2+ with oral repletion so liver can take it.

[healthwithtips]

Hypoparathyroidism– Causes, Symptoms, Diagnosis, Treatment and Ongoing care

Hypoparathyroidism is a relative or absolute deficiency of parathyroid hormone due to disease, surgical injury, congenital absence or malfunction of parathyroid glands. Manifested as hypocalcemia, producing symptoms ranging from paresthesias to tetany. Hypoparathyroidism– Causes, Symptoms, Diagnosis, Treatment and Ongoing care

[caffeinemethylxanthine-blog-blog]

Electrocardiographic Changes in Electrolyte Imbalances

THIS ALWAYS APPEARS IN ANY VERSION OF THE PNLE. AT LEAST 3-5 QUESTIONS ABOUT IT APPEAR RANDOMLY IN ANY OF THE 5 SETS OF THE EXAM.

[nursestudy]

Magnesium and the heart podcast

Magnesium and the heart podcast

Here is a 6 minute podcast on the effects of magnesium on the heart:

Always remember:

Hypermagnesemia = decreased excitablity (so slower)

Hypomagnesemia = increased excitability (so faster)

  Hope it helps.

Nurse Anna :)

[mcatmemoranda]

[mcatmemoranda]

Magnesium and calcium are close to each other on the periodic table and behave similarly with regard to PTH release. Low Mg2+ causes increased PTH release (similar to how low Ca2+ causes PTH release), which will lead to increased absorption of Ca2+ from the intestines and the kidneys. This is because Mg2+ can act on the Calcium-Sensing Receptors (CaSRs) the same way that calcium can. High Mg2+ will inhibit PTH release, the same way that high Ca2+ would. The one diffence between Ca2+ and Mg2+ is that very low levels of Mg2+ will lead to inhibition of PTH release. This is because Mg2+ is necessary for CaSRs to function normally. So if Mg2+ is very low, then the CaSRs don't work properly and so PTH won't be released. This is why you can see hypocalcemia in pts with hypomagnesemia.