Hypermagnesemia is rarely encountered in emergency practice. A small elevation in serum concentration has little clinical significance. The most common etiology for hypermagnesemia can be found in patients with renal insufficiency or renal failure who ingest Mg 2+-containing drugs. Hypermagnesemia may be seen in the perinatal setting in both a mother and her neonate secondary to the treatment of preeclampsia/eclampsia. Other etiologies of hypermagnesemia include lithium ingestion, volume depletion, or familial hypocalciuric hypercalcemia (Tab.!®, ...2,3.-1,8).

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