Hypocalcemiahttp://crisbertcualteros.page.tl
Treatment1. Correct hypoalbuminemia:• fall in serum albumin of 1gm/dl = fall of 0.8mg/dl   in total calciumEX:• Present To...
2. Ca Gluc 10% soln of 10ml/amp: 1-2amp slow IVpush(10-15min) w/ cardiac monitoring then incorp1 amp Ca Gluc to present IV...
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Hypocalcemia

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Hypocalcemia

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Hypocalcemia

  1. 1. Hypocalcemiahttp://crisbertcualteros.page.tl
  2. 2. Treatment1. Correct hypoalbuminemia:• fall in serum albumin of 1gm/dl = fall of 0.8mg/dl in total calciumEX:• Present Total Ca: 8mg/dl• Present Serum Albumin: 2.5gm/dl• Normal S. Albumin: 4gm/dl• Correction = (4-2.5)x(0.8) = 1.2• Corrected Total Ca= (8+1.2)mg/dl= 9.2mg/dl
  3. 3. 2. Ca Gluc 10% soln of 10ml/amp: 1-2amp slow IVpush(10-15min) w/ cardiac monitoring then incorp1 amp Ca Gluc to present IV fluids3. Chronic treatment of hypocalcemia:a) Ca Carb 500mg BD-TDSb) Vit D supplement: Calcitriol 0.25mcgcap OD-BD4. Tx hypomagnesemia5. Severe/recurrent sx: continuous infusion ofDextrose soln w/ elemental Ca concentr 15mg/Lover 4-6 hrs

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