Search results
Results from the WOW.Com Content Network
Causes include low dietary intake, alcoholism, diarrhea, increased urinary loss, and poor absorption from the intestines. [1] [4] [5] Some medications may also cause low magnesium, including proton pump inhibitors (PPIs) and furosemide. [2] The diagnosis is typically based on finding low blood magnesium levels, also called hypomagnesemia. [6]
The levels of chloride in the blood can help determine if there are underlying metabolic disorders. [20] Generally, chloride has an inverse relationship with bicarbonate, an electrolyte that indicates acid-base status. [20] Overall, treatment of chloride imbalances involve addressing the underlying cause rather than supplementing or avoiding ...
Hypomagnesemia (low blood magnesium) a review of four clinical trials found that low blood magnesium occurred in 20% of persons within a few weeks of beginning treatment with 50 mg of chlortalidone daily. [35] The risk of chlortalidone-associated hypomagnesemia is higher in persons with diabetes mellitus who have low dietary magnesium intake.
Other electrolyte abnormalities that can result from furosemide use include hyponatremia, hypochloremia, hypomagnesemia, and hypocalcemia. [31] In the treatment of heart failure, many studies have shown that the long-term use of furosemide can cause varying degrees of thiamine deficiency, so thiamine supplementation is also suggested. [32]
Low potassium also increases the risk of an abnormal heart rhythm, which is often too slow and can cause cardiac arrest. [21] [27] Causes of potassium deficiencyinclude vomiting, diarrhea, medications like furosemide and steroids, dialysis, diabetes insipidus, hyperaldosteronism, hypomagnesemia, and not enough intake in the diet. [21]
The most common adverse drug reactions (ADRs) are dose-related and arise from the effect of loop diuretics on diuresis and electrolyte balance. [citation needed] Common ADRs include: hyponatremia, hypokalemia, hypomagnesemia, dehydration, hyperuricemia, gout, dizziness, postural hypotension, syncope. [17]
It can cause diarrhea, [8] nausea, vomiting, severely lowered blood pressure, confusion, slowed heart rate, respiratory paralysis. [7] In very severe cases, it can cause coma, cardiac arrhythmia, cardiac arrest and death. [7] Magnesium overdose can be counteracted by administering calcium gluconate. [9]
Among the most common effects of this drug is increased blood cholesterol levels. Other changes in blood chemistry such as hypomagnesemia, hypocalcemia, hyperkalemia, and an increase in blood urea nitrogen (BUN) can occur. [2] [33]