Significance of Serum Magnesium Levels In Critically Ill-Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Magnesium is fourth most common cation in the body and second most common intracellular cation after potassium, yet its deficiency in critically ill-patients is frequently overlooked. Some authors have called Mg “the forgotten electrolyte” [5,6], because, although Mg alterations are common, hypomagnesemia is an important but underdiagnosed electrolyte abnormality. There is a paucity of data in Indian literature, addressing this common, but underdiagnosed electrolyte deficiency. Present study was to assess the magnitude of magnesium deficiency and its influence on the outcome of critically ill-patients with emphasis on the implications of hypomagnesemia and on treatment options. A prospective observational study was conducted on 65 patients admitted to the Intensive Care Unit of our hospital. The subjects enrolled into the study were monitored for serum magnesium levels within 24 hours of admission, 2ml of venous blood sample was taken and processed for magnesium analysis. Serum magnesium levels were estimated. Results analysed and discussed. Hypomagnesemia is common in sepsis patients, both in the ICU and in the wards. In order to provide optimal care, ICU clinicians should be familiar with the principles and practice of fluid and electrolyte pathophysiology. Hypomagnesemia should be identified and corrected, because it is associated with increased adverse events and higher mortality in critically ill patients.
Authors and Affiliations
Dr. Srinivas Chunduri
Keywords
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- EP ID EP244941
- DOI 10.9790/0853-1611097981
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