Monday, May 13, 2019

QTc prolongation



A young woman, who had been binge drinking, admitted with severe agitation and hallucinations......
Initial Mg 1.3, K=2.8 , iCa++ low normal
2gm MgSO4 was given and potassium IV. Mg level 3.2,  one hour after the magnesium infusion .Telemetry showed the following (pic/video)







......and < 24 hours after treatment still with QTc prolongation.





What's the primary abnormality, besides QTc prolongation ?
How much Magnesium was given in less then 24 h with a Mg level of 3.2. Any ?


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