Shh everyone quiet Magna magnesium is here stop now Magna magnesium is mr. law and order himself in the muscles of the body he's basically like the sheriff holding everything down hyper meaning high manganese meaning magnesium and amia in the blood so magnesium more than two point one in the blood magnesium's main function in the body is to maintain law and order in the muscles basically acting like a sheriff by common than down and keeping the peace mainly in the uterus and the heart to be honest now main causes that keep high magnesium in the body and not in the potty we use our acronym dark like Batman The Dark Knight who keeps law and order so d stands for DK a diabetic ketoacidosis which drains magnesium from the body a stands for anti acids that contain magnesium like tums that we use for a heartburn now ours for renal failure when the kidneys cannot excrete this magnesium from the body K stands for K excess known as hyperkalemia high potassium due to Addison's disease that may cause a magnesium increase as well and since magnum magnesium is mr. law and order keeping the peace in the muscles of your body well then everything in the body is gonna be Shh so the heart's gonna be calm and quiet the vital signs are gonna be Breda kartik basically a slow heart rate less than 60 beats per minute hypotension that low blood pressure the EKG will be calm and quiet so prolonged PR intervals and widened QRS complexes basically the heart's cramping up from all that pressure there'll be presents of the heart block the heart is so calm that it blocks itself the lungs are calm and quiet so you'll have depressed respirations very low and shallow GI will be common quiet so hypo active bell sounds that slow bowel movements neurologically in your brain calm and quiet so drowsiness and lethargy that progresses into a coma very very bad lastly musculoskeletal calm and quiet so weakness diminished or absent DTRS known as deep tendon reflexes huge NCLEX tip right there okay now that we know what's wrong in the body what are we gonna do about it as nurses here are some nursing interventions for high magnesium and it's honestly a simple fix we're gonna take out the magnesium so we use the acronym him to remember our nursing intervention so H is for hemodialysis that back up kidney it's gonna suck all that extra magnesium out of the body and throw it into the potty I is for IV calcium gluconate to help decrease that muscle tension and irritability so guys just remember that with high magnesium the muscles tense up from all that pressure and when you push that calcium back into the cells the muscles kind of loosen up and relax so remember calcium gluconate glues the muscles down for less tense and less twitchy muscles lastly M is for monitor for labs and those increase in DTRS those deep tendon reflexes that are really excited and diet we're gonna teach our patients to avoid our acronym camp on bananas that have high magnesium so no camp on bananas no chocolate or cauliflower vegetables no avocado no milk no pork or peas and peanut butter no oranges or nuts and especially no bananas so don't go bananas alright guys that wraps it up for a high magnesium alright guys that wraps up our lesson here we'll see you in the next video