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Chapter 13 - Magnesium

from Section 2 - Electrolyte Abnormalities

Published online by Cambridge University Press:  03 August 2023

By
Melvyn J. Y. Chin ,
Brian M. Sapola  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 27-year-old female, G1P0 at 39 weeks gestational age, is currently receiving a magnesium sulfate infusion for pre-eclampsia. You are consulted for a possible cesarean section. You begin to interview her and notice that she is lethargic and has a hard time staying awake. You promptly check her deep tendon reflexes and notice that they are hyporeflexic. You immediately notify the obstetrician of your findings. What are the next steps you should take? What are your concerns? How would this affect your anesthetic management of this patient?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 43 - 46
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 414–15.Google Scholar
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Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1489–90, 1507–8.Google Scholar
Hines, M. Stoelting’s Anesthesia and Co-Existing Disease, 7th ed. Philadelphia: Elsevier, 2018, pp. 418–19.Google Scholar
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Winshall, J, Lederman, R. Tarascon Internal Medicine & Critical Care Pocketbook, 3rd ed. Lompoc: Tarascon Publishing, 2004, p. 151.Google Scholar
Zakharchenko, M, Leden, P, Rulíšek, J, et al. Ionized magnesium and regional citrate anticoagulation for continuous renal replacement therapy. Blood Purif 2016;41:41–7.CrossRefGoogle ScholarPubMed

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