MAGNESIUM Flashcards

(76 cards)

1
Q

4th most abundant [?] in the body
After 

A

cation

Na, K, Ca

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2
Q

2nd most abundant [?]
After[?]

A

intracellular ion

K

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3
Q

Amount in the body:

A

24g

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4
Q

distributed in primarily in the:

A

bones (53%)
intracellularly (46%)
bound to ATP (80%)
extracellularly (<1%)

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5
Q

serum magnesium (extracellular) is further divided into:

A

protein bound (30%)
ionized or free (55%) - readily available
complexed with other molecules such as phosphate and citrate (15%)

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6
Q

bones

A

(53%)

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7
Q

intracellularly

A

(46%)

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8
Q

bound to ATP

A

(80%)

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9
Q

extracellularly

A

(<1%)

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10
Q

protein bound

A

(30%)

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11
Q

ionized or free - readily available

A

(55%)

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12
Q

complexed with other molecules such as phosphate and citrate

A

(15%)

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13
Q

– most commonly used cofactor

A

Magnesium

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14
Q

Cofactor for

A

> 300 enzymes

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15
Q

Cofactor for > 300 enzymes, including those involved in:

A
  1. Glycolysis – breakdown of glucose
  2. Neuromuscular transmission
  3. Synthesis of CHO, CHON, lipids & nucleic acids
  4. Release of and response to certain hormones
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16
Q

[?] of dietary magnesium is absorbed in the [?]

A

20 to 65%

small intestines

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17
Q

overall regulation like the other electrolytes is a responsibility of the

A

kidney

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18
Q

Non-protein bound magnesium is readily filtered by the [?]

A

glomerulus

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19
Q

25 to 30% is reabsorbed in the

A

proximal convoluted tubules

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20
Q

Majority: 50 to 60% in the [?].

A

ascending loop of Henle

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21
Q

Only 2 to 5% is reabsorbed in the [?].

A

distal convoluted tubules

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22
Q

The renal threshold of magnesium is

A

0.60 to 0.85 mmol/L or mEq/l

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23
Q

Normal serum conc:

A
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24
Q

Approximately [?]of filtered magnesium is excreted in the urine per day.

A

6%

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25
Related To The Regulation Of
Calcium And Sodium
26
increases the renal reabsorption of magnesium
PTH
27
enhances absorption of magnesium in the small intestines
PTH
28
provides the opposite effects
aldosterone and thyroxine
29
– overproduction of the PTH; abnormal inc of Mg conc in the blood; fast metabolism
primary hyperparathyroidism
30
steroid hormone
aldosterone
31
produced by adrenal glands
aldosterone
32
pyramid shaped organs found on top of the kidney
aldosterone
33
retention of salt
aldosterone
34
produced by thyroid glands
thyroxine
35
T4
Thyroxine
36
Reduced intake:
Hypomagnesemia
37
o poor diet/starvation
Hypomagnesemia
38
Decreased absorption:
Hypomagnesemia
39
Malabsorption syndrome
Hypomagnesemia
40
Laxative abuse
Hypomagnesemia
41
Pancreatitis: problem w/ digestive enzymes
Hypomagnesemia
42
Increased renal excretion:
Hypomagnesemia
43
Tubular disorder
Hypomagnesemia
44
Glomerulonephritis: filter
Hypomagnesemia
45
Drug-induced excretion:
Hypomagnesemia
46
Diuretics
Hypomagnesemia
47
Antibiotics Increased excretion (endocrine)
Hypomagnesemia
48
Hyperparathyroidism
Hypomagnesemia
49
Hyperaldosteronism
Hypomagnesemia
50
Excess lactation
Hypomagnesemia
51
Pregnancy: hyperexcitable uterus, anxiety, insomia
Hypomagnesemia
52
Hypomagnesemia - most frequently observed in[?] may be due to overall depletion due to severe loss
hospitalized and in intensive care unit patients
53
less frequently observed
Hypermagnesemia
54
Hypermagnesemia - most severe elevations are usually a result of the combined effects of
decreased renal function and increased intake of commonly prescribed medications such as antacids
55
Hypermagnesemia - most common cause is
renal failure
56
Decreased excretion:
Hypermagnesemia
57
Acute or chronic renal failure
Hypermagnesemia
58
Hypothyroidism
Hypermagnesemia
59
Hypoaldosteronis
Hypermagnesemia
60
Increased intake:
Hypermagnesemia
61
Antacids
Hypermagnesemia
62
Enemas Miscellaneous:
Hypermagnesemia
63
Dehydration
Hypermagnesemia
64
Bone carcinoma
Hypermagnesemia
65
Specimen
Non-hemolyzed serum and Li-Heparinized plasma 24-hour urine sample
66
Preferred sample
24-hour urine sample
67
Because of a diurnal variation in excretion
24-hour urine sample
68
must be acidified with HCl to avoid precipitation
24-hour urine sample
69
Anticoagulants that are unacceptable.
Oxalate, citrate, and ethylenediaminetetraacetic acid (EDTA)
70
Any degree of hemolysis id [?] higher inside the cell than in serum
10x
71
Methods
72
: for manual and automated use
Calmagite Method
73
Mg2+ binds with calmagite to form a [?] that may be read at [?] (directly proportional)
reddish-violet complex 532 nm
74
Other colorimetric
Formazen dye Method & Methylthymol Blue Method
75
reference method
Atomic Absorption Spectrophotometry
76
AAS- is added to the sample diluent to bind with phosphate
Lantanum or Strontium