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10.1136/bcr-2015-209499

http://scihub22266oqcxt.onion/10.1136/bcr-2015-209499
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suck abstract from ncbi


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pmid26231187      BMJ+Case+Rep 2015 ; 2015 (ä): ä
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  • Iatrogenic magnesium toxicity following intravenous infusion of magnesium sulfate: risks and strategies for prevention #MMPMID26231187
  • Cavell GF; Bryant C; Jheeta S
  • BMJ Case Rep 2015[]; 2015 (ä): ä PMID26231187show ga
  • A 65-year-old man being treated with radiotherapy and chemotherapy for recurrent colonic adenocarcinoma was admitted for management of hypokalaemia and hypomagnesaemia secondary to diarrhoea. He was treated with intravenous infusions of potassium chloride and magnesium sulfate. Following an infusion of magnesium sulfate, he experienced a sudden neurological deterioration. A CT of the head revealed no haemorrhage or evidence of acute ischaemic injury. Results of serum biochemistry later that day revealed an elevated magnesium level. Iatrogenic magnesium toxicity was suspected. Further discussions between the pharmacist and ward staff confirmed that a medication error had been made in the preparation of the infusion resulting in an overdose of intravenous magnesium.
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