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10.1136/bcr-2016-218260

http://scihub22266oqcxt.onion/10.1136/bcr-2016-218260
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28325719!5372215!28325719
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suck abstract from ncbi

pmid28325719      BMJ+Case+Rep 2017 ; 2017 (ä): ä
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  • Near death by milk of magnesia #MMPMID28325719
  • Alaini A; Roldan CA; Servilla K; Colombo ES
  • BMJ Case Rep 2017[Mar]; 2017 (ä): ä PMID28325719show ga
  • We report a case of hypermagnesemia associated with the use of milk of magnesia in a male patient with end-stage renal disease. After experiencing nausea and vomiting, he developed severe bradycardia and then asystole. Resuscitation efforts were successful; however, he developed atrial fibrillation with severe widening of the QRS and diffuse ST elevation, hypothermia, hypotension and apnoea requiring intubation. Initial diagnoses included ST-elevation myocardial infarction, cardiogenic and/or septic shock and hyperkalaemia. However, serum magnesium was later found to be >4.1 mmol/L (equivalent to >10 mg/dL). He underwent haemodialysis (HD) to remove serum magnesium with remarkable overall improvement. Severe hypermagnesemia can manifest with severe bradycardia and asystole, shock, hypothermia and respiratory failure and can mimic acute coronary syndromes complicated with cardiogenic shock or septic shock. Therefore, clinicians should be aware of this life-threatening condition in patients with significant renal dysfunction. Timely treatment with HD is highly effective and lifesaving.
  • |Aged[MESH]
  • |Dialysis/methods[MESH]
  • |Heart Arrest/*chemically induced[MESH]
  • |Humans[MESH]
  • |Intestinal Obstruction/*complications/therapy[MESH]
  • |Kidney Failure, Chronic/complications[MESH]
  • |Magnesium Oxide/administration & dosage/*toxicity[MESH]
  • |Magnesium/*blood[MESH]
  • |Male[MESH]


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