Electrolyte Imbalances | Hypermagnesemia (High Magnesium)

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What is hypermagnesemia, and what are the key concepts the NCLEX wants RN nursing students and LPN students to know about fluid and electrolyte imbalances?
Hypermagnesemia is fancy words for high magnesium in the blood, or high blood serum magnesium. Normal magnesium levels range from 1.5 - 2.5 mEq/dL according to the NCLEX (NCSBN boards). Magnesium is an electrolyte that helps mellow out the muscles, therefore electrolyte imbalances like hypermagnesemia lead to the unique signs and symptoms of flaccid paralysis, muscle weakness, decreased DTRs (deep tendon reflexes), reduced respirations, low blood pressure and very slow heart rate (bradycardia).
This video is part of a 12 video fluid and electrolytes series to help registered nurse RN students and LPN students with electrolyte imbalance memorization tricks. In this video Michael Linares, RN from Simple Nursing helps pinpoint the exact causes and treatments for hypermagnesemia, which is expected to know for the NCLEX, HESI, ATI, and Kaplan proctor exams.
For more information on electrolyte imbalances like hypermagnesemia, click here: bit.ly/38kjhJX
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[@SimpleNursing]

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[@nikiy4551]

How do you treat hypermagnesium?

[@consis]

You have no idea how helpful this is for a person like me, after a heart attack and stent implant trying to sort out my electrolytes properly. Cannot thank you enough.

[@consis]

@@RobertsDigital Yes, I take a magnesium supplement ONLY on a day that I feel exercise muscle cramps.

[@consis]

@@RobertsDigital I felt much better after the stent was placed. Then they told me it's all about food now.

[@consis]

@@RobertsDigital Yes, they prescribed me the standard routine combo of drugs as all atherosclerosis (99% blockage) patients: High dose statin + Plavix (clopidogrel) + Beta blocker (metropolol) + 81mg aspirin (so-called baby aspirin)

[@jaclynmaicalee-i2y]

How about those leafy vegetables like brocolli spinach that high in magnesium should we avoid that? If elevated magnesium high.. Does it always mean u have problm with kidney or is there other cause why it get high is it diabetic etc. I want to understand coz my kid got elevated high magnesium and i dont know wer she get that

[@consis]

@@jaclynmaicalee-i2y high magnesium comes from 2 things: antacids and breakfast cereals

[@onyapidi5174]

Who would forget this, I like it. When I read the text and options in questions...you just remember calm and quiet! Thank you🇰🇪

[@SimpleNursing]

You are so very welcome! We have a quiz bank that’s NCLEX based that you can customize. You can get the full 15 video course + study guides & quiz bank! Try it free at simplenursing.com/nursing-school/

[@jamiepenzie7472]

I am so confused. You said signs and symptoms would be diminished or absent reflexes and weak muscles. But then for treatment you say to give calcium gluconate to help settle down the tense muscles, and to monitor the labs and the increased DTR's ?? But you just said they would be weak and absent DTRs? Or are you meaning that after treatment, to watch for an increased in those areas?

[@Hksjdk]

Same I'm confused on that part too

[@jamessanders6788]

Right!

[@TobiasTheWolf]

Great video bro, I really like how you explain things and that you talk to us, not at us

[@SimpleNursing]

Thanks so much! Be sure to take the free quiz here Simplenursing.com/nursing-school

[@Stardust_Truth_Seeker]

doctors are saying that the majority like 80% of the population actually very low in magnesium and many people interested taking a supplement for this reason . Can you please advise as for a the chances of us overdosing on magnesium and if we should take supplements

[@Thomas-vq1ox]

Love your videos, but some of the information is inaccurate. Under the chart of things that cause hypermagnesemia, DKA (you mentioned correctly drains magnesium) so that would categorized not as something that causes hypermagnesemia, but something that causes hypomagnesemia. Also, at 3:01 you say that with high magnesium "muscles tense up from all that pressure", however high magnesium creates flaccid muscle paralysis. But the antidote - calcium gluconate, you are correct would calm the muscles that are twitchy. Calcium gluconate also antagonizes the receptor sites affected by the mag toxicity too.

[@SimpleNursing]

We have a quiz bank that’s NCLEX based that you can customize. You can get the full 15 video course + study guides & quiz bank! Try it free at Simplenursing.com/nursing-school

[@bethelaine5821]

When you talk about causes of elevated magnesium, taking magnesium supplements to help with sleep is never mentioned. As we know, people often take supplements without knowing what problems can arise.

[@travv88]

Just did this to myself lmao

[@HH-gv8mx]

can taking too much magnesium cause muscles to twitch? I always attributed the muscle twitches to an electrolyte imbalance, which makes me think I need MORE MAGNESIUM. But perhaps I’m taking too much I take 400 mg every single night in a supplement plus the 100 mg that are in the tea that I drink , then I take an Epsom salt bath , which is magnesium. Maybe I’m taking too much magnesium as I’ve noticed that. I’m really really tired all day long. I have really bad lower back pain which might be my kidneys?

[@kouryeways3998]

@@HH-gv8mx I think you may be oversimplifying things here my friend. There are thousands of things that can cause fatigue. Magnesium levels are often too low in patients. It sounds like going to see your regular doctor might be of help. The worry here: Digging into mechanism can sometimes help but making jumps using mechanism alone can be a bad move. How is your sleep? Have you had labs drawn recently etc etc. Again this is not medical advice, just friendly advice.

[@negzrad7624]

this is so good and simple, I love it

[@SimpleNursing]

Thanks so much! Be sure to take the free quiz here simplenursing.com/membership

[@HH-gv8mx]

@@SimpleNursing can taking too much magnesium cause muscles to twitch? I always attributed the muscle twitches to an electrolyte imbalance, which makes me think I need MORE MAGNESIUM. But perhaps I’m taking too much I take 400 mg every single night in a supplement plus the 100 mg that are in the tea that I drink , then I take an Epsom salt bath , which is magnesium. Maybe I’m taking too much magnesium as I’ve noticed that. I’m really really tired all day long. I have really bad lower back pain which might be my kidneys?

[@sherlyr.]

Great show/video. Thanks.

[@JCL_RN]

Claiming to Top the Board Exam! ✨

[@SimpleNursing]

You've got this! Visit here to prep for the NCLEX - we have a 99% pass rate! shorturl.at/Cmc4e

[@HH-gv8mx]

As an active 45-year-old woman in Parramatta I’m always told how to get magnesium in to help with sleep and ease anxiety . Every single thing that you told me not to eat, I eat every single day. I take 400 mg of a magnesium supplement plus I drink magnesium in my electrolyte drink and every night. Maybe this explains why I’m so tired. I’ve been having back pain that might be my kidneys??

[@lindabelinske2381]

Same for me, I'm 44 yrs old and have suffered severe migraines for many years. The answer we're always told is magnesium magnesium magnesium. I eat those foods mentioned (to avoid) & I supplement with various types of magnesium daily. My supplements have gone up from years past in rhe last 6 months or so and for at least 2 months now I'm so tired all of the time, gaining weight, and yes have had those same mid to lower back pains sporadically which is odd as my pain has always been upper right back/shoulder/neck/head. Which in turn, I'm told magnesium to help with that. Oddly though, I just had bloodwork and everything came back normal. But I'm going to stop with all that and see if there's an improvement in energy & overall. Keep posted please if you try the same & good luck!

[@HH-gv8mx]

@@lindabelinske2381 too much magnesium is definitely bad for your kidneys and cause kidney stones and back pain. Oosting lethargy. I started dialing back on the amount of magnesium I was taking. Because I am getting it in a supplement form and through my food and I take magnesium Epsom salt baths.

[@solutions4tenants141]

Many foods that are high in magnesium are also HIGH in OXALATES… oxalate in the blood and muscles cause muscle constriction and spasms

[@freeagent6203]

Why calcium gluconate specifically?

[@user-ri8fn6sz7z]

Could generalized fasciculations be caused by too much magnesium?

[@fionassimbwa8805]

You are fantastic

[@SimpleNursing]

Thank you! Get the full 15 video course + study guides & quiz bank! Try it free at Simplenursing.com/nursing-school

[@falohunade6571]

My baby has been having seizures from day 10, he's one year now, after many failed attempt to stop his seizures and cp ( he's yet to gain neck control) I was looking Tru all the blood tests we have done so far and discovered, his magnesium is 3.1, his phosphorus is 5.7, and creatinine is 0.4. I'm tired of going to the hospital, those doctors just look at me with pity as if I've gone mad, I don't know what to do

[@brandon336]

Hyperbaric oxygen therapy stopped my brother's seizures. Research it.

[@troybeaney1639]

Stop giving your newborn babies vaxinessss . Ask Jesus to heal your child and then stop doing things to make Him angry with you (sinning). Repent and obey His Son Jesus Christ for eternal life .

[@solutions4tenants141]

Many newborns having sleep issues and seizures… is from poor womb nutrition like healthy animal fats. Many pregnant woman are afraid to get too fat so they eat low fat or no fat and the growing baby’s nervous system and brain needs healthy animal fats not fats from processed seed oil fats that are abundant in processed prepackaged American foods. That’s why you see that it’s most Americans children that have serious health conditions from birth. It’s what the mother Didn’t eat… copious amounts of healthy animal fats

[@b_740]

Hey, just a friendly note: the volume fluctuates a LOT and some people with sensitive ears might not be able to watch it. Like me lol.

[@gulhussain27]

I used Epsom salt (magenesium sulfate) for luxative purposes but didnt drink enough water. and now Im suffering from enimia. What to do now?

[@chetnasaini5869]

wait if DKA drains mag in the body, how is this a cause of hypermagnesemia

[@SimpleNursing]

it drains it from the body (muscles & interstitual) & into the blood stream

[@eri7-11]

Confused...my Japanese dr told me my magnesium is high but calcium low, they suspected demineralization from eating too much processed 'acidic" foods and stress and possibly eating too much dairy

[@miditemplate4011]

Don't have what interesting to drink. Doing 2 magnesium tablets with water! -Wish me luck! -I'll drink it 15 hours later, prob after midnight for atmosphere of the niggt.

[@Shrekway]

How can i decrease magnesium from my body in home plz

[@annaberg1200]

OMG I think I'm taking too much magnesium!! I need to know more about magnesium!! Can you contact me? 🙏🏻

[@bellboy7286]

Why did you say DKA drains magnesium from the body but causes hypermagnesemia?

[@SimpleNursing]

In DKA, body magnesium deficits through urinary losses are routinely encountered and are the consequence of absence of insulin. However, magnesium exit from the cells may cause hypermagnesemia.

[@bellboy7286]

@@SimpleNursing thank you. And thanks for all your vidoes

[@hayleygrace2.0]

I’m confused- you said DKA is a cause of hypermagnesemia, because DKA “drains mg from the body”

[@troyrodgers9790]

I don't know what to eat now

[@gotem370]

Tums doesn’t have mag

[@93Moses]

I take 375 mg of magnesium is that too much?

[@modelformodels]

Weird, ever since I've been taking 400 magnesium glycinate for a month. My tourettes tics have gone down. But my eye muscles have been twitching for the last 3 days. & my skin gets prickly in my hands feet im not diabetic. I gave mom 1 magnesium h she felt prickly before I even mentioned my own issues. She has high blood pressure normally she takes meds. I have 60 blood pressure usually. I've never taken drugs.

[@maisamrafi9529]

I got hair loss from using 400 mg magnumisum aday

[@deanjelbertaustria6174]

Same here.. plus i started snoring a lot

[@modelformodels]

Probably sleeping better by snoring.

[@deanjelbertaustria6174]

@@modelformodels i can't say that i was sleeping better.. my throat muscles were so relax that it hinders me from breathing normally, making me wake up every 2 hours because i can't breathe.. now i'm not taking them evryday.. just every other day

[@modelformodels]

@@deanjelbertaustria6174 whoops. Thats what I meant. More relaxed so you end up snoring. I suck at comment writing

[@BacknRC]

Tums? They contain calcium not magnesium.

[@AECommonThread2137]

I took too many calm gummies after 2 days of Thanksgiving food. I am STILL on the toilet. 👀 🚽

[@Liberty-Jamie]

dude just says my entire diet. So what am I meant to eat?

[@julirohfit8570]

organ meats

[@waneframe]

Whatttt! Is he say calcium is better than magnesium?%@$!%@%@ 🤦🏽‍♂️

[@maljusufi320]

Dang i ate osteocare everyday they contain 250mg magnesium i ate 2 a day im only 14 but my magnesium is high dang i have consumed 500mg magnesium a day

[@Cici_1298]

I thought meg is 1.5 to 2.5

[@cynicalbeauty18]

It is in my program

[@Cici_1298]

cynicalbeauty18 can you be specific you respond don’t mean sense or clarify

[@cynicalbeauty18]

@@Cici_1298 The normal range for Mg is 1.5-2.5 in my nursing program.

[@Cici_1298]

cynicalbeauty18 thanks that what I thought too

[@nidhisindhwani9871]

@@cynicalbeauty18my 2.12 is high ??

[@dcpunisher4781]

This guy tries too damn hard to be a Cartman Brah and to also try to be seen as a real professional, and that can't be done when it comes to something as serious as medical/nutritional knowledge and information, and that annoyed me and made me stop the video after only 30 seconds. It's like bro, be a doctor be a professional and make videos as such. For the sound effects and for the cartoon graphics and for all of the nice light shows that kids find pretty and funny, go review movies or go review video games if that's the image you want to take.

[@SimpleNursing]

Thank you for your very detailed comment. We always appreciate feedback. Join for FREE to access way more exclusive videos just like this: bit.ly/3urJSzi

[@solutions4tenants141]

He’s doing his best to serve the public in his professional interest and some people learn in different ways through different mediums. I appreciate his graphics

[@hotpink3230]

Stop eating den