Electrolyte Management in Critical Care · NCLEX Exam

What therapeutic action is appropriate for a critically ill patient with severe hypomagnesemia and refractory ventricular arrhythmias in the ICU?

  1. Ignore magnesium and aggressively treat potassium instead
  2. Give IV magnesium sulfate with ECG monitoring
  3. Provide oral magnesium tablets as the sole therapy
  4. Replace calcium rather than magnesium in this patient
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Correct answer: Give IV magnesium sulfate with ECG monitoring

In critical care, severe hypomagnesemia with arrhythmias warrants IV magnesium sulfate under monitoring to stabilise cardiac rhythm.

Difficulty: Medium Question 12 of 15

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