Patient Comfort Measures

Reproduced by permission of Dr. Jonathan Wright

Ingredients:

• Magnesium chloride hexahydrate 20% 2-5 cc
• Calcium gluconate 10% 1-4 cc
• Hydroxy-cobalamine 1000 mcg./cc 1 cc
• Pyridoxine hydrochloride 100 mg./cc 1 cc
• Dexpanthenol 250 mg./cc 1 cc
• B-complex 100 1 cc
• Vitamin C 222 mg./cc 1-30 cc
• Sterile water to isotonicity: 280-320 mOsm/ml.
• 1 cc sterile water /cc of calcium gluconate
• 1 cc calcium gluconate/2 cc magnesium chloride unless anxiety or migraines, then go to 1:1.

Notes:

• All nutrients in one syringe and push in over 5-15 minutes through a 25G butterfly.
• If pain on injection cut with sterile water to 50%
• Too rapid magnesium can cause severe hypotension.
• Watch for and correct hypokalemia before administering Myer's cocktail. Suspect hypokalemia in people on diuretics, beta-agonists, corticosteroids, or diarrhea.
• Measure serum potassium. When in doubt give 25 mEq. of potassium orally at the time of the injection and repeat 4-6 hours later.

These nutritional protocols are for doctors practicing nutritional medicine. They are based on clinical experience and a review of the nutritional literature. They should be correlated with your knowledge and clinical experience and used at your own responsibility.

Updated on: Aug. 09, 2006