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In: Nursing

Mrs. Jones is a 67-year-old female with a history of osteoporosis, takes a supplement of calcium,...

Mrs. Jones is a 67-year-old female with a history of osteoporosis, takes a supplement of calcium, magnesium and vitamin D, every other day. She also has a history of HTN and has been placed on the diuretic Lasix about 8 months ago. She now complains of weakness, fatigue and she feels like her heart is “skipping”. Her diet history reveals that she has had decreased intake and eats mostly ready-to-eat foods such as pre-made sandwiches or frozen dinners and does not eat any fresh fruits or vegetables.

What mineral deficiency do you suspect? (5 points) What factors led you to that conclusion? (5 points)

What recommendations would you make to treat the deficiency? (5 points)

Solutions

Expert Solution

a) In this case magnesium deficiency occur.

As magnesium deficiency worsens, symptoms may include:

numbness.

tingling.

muscle cramps.

seizures.

muscle spasticity.

personality changes.

In this case pt have feel like her heart is skipping that means palpitations,

Irregular Heartbeat

Among the most serious symptoms of magnesium deficiency is heart arrhythmia, or irregular heartbeat,abnormal heart rhythms.

In some people, it may cause heart palpitations, which are pauses between heartbeats.

b)In this case pt take diuretics that cause mg deficiency.

Certain factors can, however, increase a person’s risk of developing magnesium deficiency symptoms. These include:

continually eating a low-magnesium diet

having gastrointestinal disorders such as Crohn’s disease, celiac disease, or regional enteritis

losing excessive amounts of magnesium through urine and sweat resulting from genetic disorders or drinking too much alcohol

being pregnant and lactating

being hospitalized

having parathyroid disorders and hyperaldosteronism

having type 2 diabetes

being older

taking certain medications, such as proton pump inhibitors, diuretics, bisphosphonates, and antibiotics.

c,)

Recommended amounts of magnesium by eating a variety of foods, including the following:

Legumes, nuts, seeds, whole grains, and green leafy vegetables (such as spinach)

Fortified breakfast cereals and other fortified foods.

Milk, yogurt, and some other milk products.

increase their magnesium levels by improving absorption

reducing or avoiding calcium-rich foods two hours before or after eating magnesium-rich foods

avoiding high-dose zinc supplements

treating vitamin D deficiency

eating raw vegetables instead of cooking them

quitting smoking

Treatment is with magnesium either by mouth or intravenously. For those with severe symptoms, intravenous magnesium sulfate may be used. .

Nightingale answered 5 months ago
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