Hypercalcemia & Hypermagnesemia Explained | Lethargy, EKG Changes
Автор: Alex
Загружено: 2026-01-25
Просмотров: 17
Описание:
In this video, we break down both conditions side-by-side, focusing on recognition, priority interventions, and patient safety.
You’ll learn:
Common causes:
Hypercalcemia: malignancy, hyperparathyroidism, prolonged immobility, excess calcium intake
Hypermagnesemia: renal failure, magnesium-containing antacids/laxatives
Why elevated calcium and magnesium cause CNS and neuromuscular suppression
Key assessment findings:
Lethargy, confusion, decreased reflexes
Constipation, nausea
Muscle weakness and respiratory depression
EKG changes:
Shortened QT interval (hypercalcemia)
Prolonged PR, widened QRS, heart block (hypermagnesemia)
Priority treatments:
IV isotonic fluids
Loop diuretics (after hydration)
Calcitonin, bisphosphonates (hypercalcemia)
IV calcium gluconate as the antidote for magnesium toxicity
Critical NCLEX traps, including when to hold magnesium and assess kidney function
This guide helps you connect high electrolyte levels to slowed body systems, prioritize ABCs, and choose the safest NCLEX answer every time.
📌 Save this for med-surg, critical care & NCLEX review
⚠️ Essential for nursing students & new grads
🧠 Built around safety, EKGs, and clinical judgment
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