no law no order complete Mayhem ah Magnum magnesium has lost his authority every organ's going Buck Wild in the saloon your body hypo meaning low manganese meaning magnesium and emia in the blood so magnesium less than 1.3 in the blood magnesium's main function in the body is to maintain lawn and order in the muscles basically acting like a sheriff by calming them down and keeping the peace mainly in the uterus and the heart to be honest magnesium is required for calcium and vitamin D absorption it helps keep healthy immune system strong bones and stabilizing blood glucose levels now main causes that dump magnesium out of the body and into the potty we use the acronym cray because everything in the body is going crazy like cray cray C stands for consumption of alcohol in excess which inhibits magnesium absorption in the GI track R is for really large fluid loss for example like NG suctioning or vomiting even diarrhea or diuretics because where fluids flow electrolytes go A is for antibiotics like aminoglycosides and Y is for young mothers which are usually high risk for malnutrition because they're young and not really responsible especially with their diet and it can lead to deficiencies in folic acid iron as well as magnesium so what's going on in hypo magnes IA well low low magnesium right and since Magnum magnesium is Mr Law and Order keeping the peace in every muscle of your body well everything's going out of control and basically Buck Wild so the heart's going Buck Wild so Vital Signs you'll have an increased heart rate known as tacac cardia you'll have cardiac dysrhythmias like prolonged PR and QT intervals the ST segment will be depressed and you'll have t-way inversions now this is just fancy words for ventricles repolarizing and refilling too quickly profound signs would be a tornado in the heart called torsades de Poes which is a huge enlex tip very severe low magnesium can even result in viib known as ventricular fibrillation both very deadly dymas now the lungs are going Buck Wild from dmia difficulty breathing and Rapid shallow respirations the GI is going buck wild with massive diarrhea ooh you nasty neurologically is going buck wild you'll have confusion irritability insomnia and even seizures now neuromuscularly you'll have increased deep tendon reflexes known as Hyper flexion called clonus big enlex tip right there as well as muscle twitching and numbness also called paresthesia so now that we know what's wrong what are we going to do about it as nurses so here's some nursing interventions and it's honestly really a simple fix we're just going to add mag magnesium so use our simple acronym SIM for our nursing interventions s is for safety with swallowing because these patients are usually at risk for aspiration or basically choking I is for IV mag sulfate to replace that magnesium but caution give slowly because it could slow down the heart too much so guys watch out for hyper magnesium here M is for monitoring respiratory status and those hyper reflexes known as clonus our hyperflexion which is a severe hypom magnesium sign and lastly our diet high in mag we use the acronym camp on bananas this camps G bananas b a n a n so the acronym camp on bananas C stands for chocolate and cauliflower vegetables a for avocado M for milk P for pork and peas as well as peanut butter O is for oranges n for nuts and B is for bananas so go bananas all right guys that wraps it up for hypom magnesium all right guys that wraps up our lesson here we'll see you in the next video