Alterations of Mg 2+ After Hemorrhagic Shock

Hemorrhagic shock is generally characterized by hemodynamic instability with cellular hypoxia and diminishing cellular function, resulting from an imbalance between systemic oxygen delivery and consumption and redistribution of fluid and electrolytes. Magnesium (Mg) is the fourth most abundant cation overall and second most abundant intracellular cation in the body and an essential cofactor for the energy production and cellular metabolism. Data for blood total Mg (tMg; free-ionized, protein-bound, and anion-bound forms) and free Mg levels after a traumatic injury are inconsistent and only limited information is available on hemorrhagic effects on free Mg as the physiologically active form. The aim of this study was to determine changes in blood Mg and tMg after hemorrhage in rats identifying mechanism and origin of the changes in blood Mg . Hemorrhagic shock produced significant increases in blood Mg , plasma tMg, Na , K , Cl , anion gap, partial pressures of oxygen, glucose, and blood urea nitrogen but significant decreases in RBC tMg, blood Ca , HCO , pH, partial pressures of carbon dioxide, hematocrit, hemoglobin, total cholesterol, and plasma/RBC ATP. During hemorrhagic shock, K , anion gap, and BUN showed significant positive correlations with changes in blood Mg level, while Ca , pH, and T-CHO correlated to Mg in a negative manner. In conclusion, hemorrhagic shock induced an increase in both blood-free Mg and tMg, resulted from Mg efflux from metabolic damaged cell with acidosis and ATP depletion.