マグネシウム欠乏 - hospi.sakura.ne.jp

1 Clinical question 2014 11 18 . JHOSPITALIST NETWORK.. K Mg .. 82 .. 40mg 10mg, 5mg 5mg . ER . Geckler5. GNR . CTRX1g/day 70ml/hr .. 120-140 / .. HR125, sinus rhythm .. , PCO46, PO2 72, HCO3- 31, Na128, K . Clinical Question K Mg . Mg . Mg . Mg Mg . Mg .. K Mg . Mg . Mg Mg . K Mg . K Mg . Mg 40-60% K . JAMA. 1990;263(22):3063. K 50% Mg . J Am Soc Nephrol 18: 2649 2652, 2007.. 1) . 2) Mg K . Mg . J Am Soc Nephrol. 2007 Oct;18(10):2649-52. Mg K . Urine Blood ROMK. Mg Mg . ROMK= Renal outer medullary potassium channel Mg ROMK K . Mg K . J Am Soc Nephrol. 2007 Oct;18(10):2649-52. K Mg .. K . Mg .. day Arch Intern Med. 1989 Nov;149(11):2592-4. Mg . 1% .. Mg . 250-300mg/ . 125-150m/ . Mg Mg . Mg . 1. Mg . 2.. 3. Ca . Guyton and Hall Textbook of Medical Physiology 12th Edition: 543.

2 Mg . 11% ICU 60% Mg . Am J Clin Pathol. 1983 Mar;79(3):348-52. Mg Mg . Mg Mg .. Mg Mg . Lab Clin Med. 1972;80(3):313-321. Clin Chem 1987; 33:1965 1970. Mg . Mg . PPI. Mg . 1.. 2.. 3.. EGFR . (Cisplain, Aminoglycosides, etc). Brenner and Rectors The Kidney 9th: 704-707. Mg .. QRS T . PR .. K (40-60%). Ca (30%). Am J Kidney Dis. 1994;24(5):737. Mg . Mg . 1. 24 Mg . 2. FEMg =100 [Mg] [Cr] / Mg . [Cr] . 3. Mg - Mg 24 .. Mg Mg .. Mg Mg . Mg . Mg Mg . Mg Mg . Am . J Kidney Dis. 1994;24(5):737 Brenner and Rectors The Kidney 9th: 704. Mg .. 24 .. Mg . Mg . Mg . Am J Kidney Dis. 1994;24(5):737 Brenner and Rectors The Kidney 9th: 704. Mg . Mg Mg .. Mg .. Recognizing the conditions that predispose to magnesium depletion may be the only clue of underlying electrolyte imbalance.

3 ICU book 4th edition: 690 . Mg . Mg . Mg Mg . Mg . Mg Mg .. J Am Coll Cardiol. 1997;29(5):1028-1034.. J Am Soc Nephrol. 1999 Jul;10(7):1616-22. Mg Mg . West J Med. Jun 1983; 138(6): 823 828. Magnesium replacement should be administered for signs or symptoms hypomagnesemia(arrhythmia, muscle cramps) and can be routinely give(with uncertain benefit) to all subjects receiving large doses of diuretics or requiring large amount of K+ replacement. Braunwald s Heart Disease 10th edition 2014: 525 . Mg Mg . Mg . Mg Mg . Mg . Mg . Mg . CCr 20ml/min Mg . ( 4mEq/L>)- . , etc. Mg < .. Brenner and Rectors The Kidney 9th: 710. uptodate "Symptoms of hypermagnesemia" last updated: May 05, 2014. Mg Mg . / . controversial .. 1-2g Mg (8 to 16 meq) 2-15.

4 1-2g Mg (8 to 16 meq) 30-60 . Circulation. 2010;122(18 Suppl 3):S729. Mg Mg .. 12-24mg[1-2mEq]/kg . Am J Nephrol. 1988;8(5):349-354. Mg4-8g (32 to 64 mEq) /12-24hr . 4g/ 2-6 . Mg 1-2 . dose . (Mg Mg ). Brenner and Rectors The Kidney 9th: 709. uptodate: Evaluation and treatment of hypomagnesemia: Oct 21, 2013.. Mg . Mg . Mg . K PPI .. Mg . K .. 1. 40mEq . 2. 1g( 20ml) .. 1 . Mg . 25mg . 1g .. Take Home Message Mg Mg .. K QT . Mg . Mg . K K . Mg.