What is the recommended treatment for magnesium toxicity?

The recommended treatment for magnesium toxicity is calcium gluconate. This approach is based on the mechanism by which calcium acts to counteract the effects of elevated magnesium levels in the body. Magnesium and calcium have opposing effects on neuromuscular transmission, and calcium can help stabilize cardiac and neuromuscular function in the presence of high magnesium levels.

When magnesium levels rise significantly, it can lead to symptoms such as muscle weakness, respiratory depression, and cardiovascular instability. Administering calcium gluconate helps to restore normal neuromuscular function and supports cardiac stability by mitigating the effects of magnesium on the cardiac conduction system. In situations of severe magnesium toxicity, calcium gluconate serves as an essential antidote by preventing potentially life-threatening complications.

In contrast, potassium chloride does not directly address the effects of magnesium toxicity, as it primarily focuses on managing potassium levels rather than balancing magnesium. Insulin is involved in the management of hyperglycemia and does not have a specific role in treating magnesium toxicity. Furosemide, a diuretic, might help to eliminate excess magnesium through urine but is not the primary treatment and can result in fluid and electrolyte imbalances.

Thus, calcium gluconate stands out as the most effective and appropriate treatment for reversing