Avoid These Mistakes: The Proper Way to Replace Magnesium

How to properly replace magnesium and avoid common pitfalls in hypomagnesemia, we will discuss the severity of hypomagnesemia, symptoms and signs of hypomagnesemia, the relation between hypomagnesemia and hypokalemia, the relation between hypomagnesemia and hypocalcemia, the available magnesium preparation (Magnesium sulfate, magnesium chloride, magnesium lactate, and magnesium oxide), how to administer oral magnesium, how to administer IV magnesium in Torsades de pointes and emergency situations, severe hypomagnesemia, severe asthma and COPD exacerbation, and eclampsia & preeclampsia with severe features. We will also discuss how to monitor magnesium therapy to avoid hypermagnesemia.


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Chapters:
0:00 Introduction.
0:36 Normal magnesium level and the severity of hypomagnesemia.
01:11 The association between hypomagnesemia and hypokalemia.
01:37 The association between hypomagnesemia and hypocalcemia.
02:14 The signs and symptoms of hypomagnesemia.
03:09 Oral magnesium preparation.
03:50 Sustained release vs instant release oral magnesium preparation.
04:09 IV magnesium preparation (Mg sulfate).
04:32 The effect of magnesium supplement on magnesium renal absorption.
05:55 Indications for IV magnesium vs oral magnesium replacement therapy.
06:33 How to use IV magnesium sulfate in emergencies (Torsades or seizures).
06:50 How to use IV magnesium sulfate in symptomatic hypomagnesemia but no emergencies.
07:32 How to use IV magnesium sulfate in severe asymptomatic hypomagnesemia.
07:47 How to use IV magnesium sulfate in normomagnesemic hypocalcemia.
08:05 How to use IV magnesium sulfate in severe asthma or COPD exacerbation.
08:16 How to use IV magnesium sulfate in eclampsia and preeclampsia with severe features.
08:40 How to use oral magnesium in mild-moderate asymptomatic hypomagnesemia.
09:07 Important points in hypomagnesemia management.
09:18 The need to reduce magnesium dose in renal failure patients.
09:32 How to monitor patients with hypomagnesemia and those receiving magnesium therapy.
10:03 The adequacy of magnesium replacement therapy.
10:33 The risk of hypermagnesemia with IV magnesium sulfate.

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