حالة سريرية-1

:I don't know but according to medstudy

منرجع للحالة :
The answer is a. States of magnesium
excess are characterized by generalized neuromuscular depression. Clinically,
severe hypermagnesemia is rarely seen except in those patients with
advanced renal failure treated with magnesium-containing antacids.
Hypermagnesemia is produced intentionally, however, by obstetricians
who use parenteral magnesium sulfate (MgSO4) to treat preeclampsia.
MgSO4 is administered until depression of the deep tendon reflexes is
observed, a deficit that occurs with modest hypermagnesemia (over 4
meq/L). Greater elevations of magnesium produce progressive weakness,
which culminates in flaccid quadriplegia and in some cases respiratory
arrest from paralysis of the chest bellows mechanism. Hypotension may
occur because of the direct arteriolar relaxing effect of magnesium.
Changes in mental status occur in the late stages of the syndrome and are
characterized by somnolence that progresses to coma