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 ?