“Observations of Serum Magnesium Levels in Major Burns”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
To observe the Serum magnesium levels in 25 cases of major burns. 25 cases of Major burn of varying degree from different ages & sex admitted in Burn ward of Rajendra Institute of Medical Sciences, Ranchi were taken up for study. Local assessment of percentage & depth of burn was done. General examination & Investigation of serum electrolyte (magnesium) was estimated on day 10. The type of intravenous fluid given, duration and other treatments were recorded. All patients were followed up for neuro-muscular and mental symptoms. Result: Serum magnesium was estimated on 10th day and it was found to be low. Magnesium therapy was given either orally or intravenously. The effect of magnesium deficiency on the development of mental symptoms and gastrointestinal upset were noted and their responses to magnesium administration were also noted. Conclusion: The range of serum magnesium in the present series was found to be 1.5 to 2 meq/l, and the mean 1.676±0.44 mEq/L. No variation was found to exist between different ages and different sexes. 48% cases had hypomagnesaemia and 32% had magnesium deficiency syndrome. All patients having serum magnesium levels between 0.5 to 0.75mEq/L and >80% of those having 0.75 to 1.0 mEq/L developed symptoms of magnesium deficiency. The treatment of hypomagnesaemia with magnesium in concentration of 5mEq/L in multi-electrolyte solution may be helpful in preventing hypomagnesaemia and magnesium deficiency syndrome.
Authors and Affiliations
Dr. Samir Toppo, Dr. Anil. K. Kamal, Dr. Vinay Pratap, Dr. Utkrisht Kant
Keywords
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