Thursday, September 25, 2014

Q: Which one electrolyte should be replaced with Thiamine infusion in Wernicke's encephalopathy?

Answer:  Mg

Magnesium is a co-factor in many thiamine dependent enzymes involved in carbohydrate metabolism. Thaimine may not work in the presence of low magnesium. This is clinically an extremely important point as alcoholics usually lack magnesium.

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