Diferencia entre revisiones de «Hypocalcemia»

Revisión del 12:14 29 ago 2016

Correct for hypoalbumimia
- Corrected Ca = (0.8 *(Normal Alb - Patient's Alb)) + Serum Ca

QT Prolongation via increasing the ST length
- Only hypothermia and hypocalcemia prolong QT this way

Avoid empiric treatment in patients taking digoxin due to risk for Stone Heart

Asymptomatic
- Calcium gluconate 1 gm PO Q6hrs
- Vitamin D (calcitriol) 0.2 mcg BID
Symptomatic
- Calcium gluconate/chloride 10mL of 10% soln IV over 10min
Correct hypomag at same time (otherwise PTH is inhibited)

Authors:

@@ Línea 43: / Línea 43: @@
 ==Evaluation==
-*[[ECG]]
+===[[ECG]]===
-**[[QT Prolongation]] via increasing the ST length
+*[[QT Prolongation]] via increasing the ST length
-***Only hypothermia and hypocalcemia prolong QT this way
+**Only hypothermia and hypocalcemia prolong QT this way
+===Trousseau's Sign (Mod to high SN and SP)===
-*Trousseau's Sign (Mod to high SN and SP)
+*Inflate BP cuff for 2-3 mins
-**Inflate BP cuff for 2-3 mins
+*Positive = Muscle contractions of the hand and wrist
-**Positive = Muscle contractions of the hand and wrist
+===Chvostek's Sign (Low SN and SP)===
+*Tapping on the face just anterior to the ear and just below the zygomatic bone
-*Chvostek's Sign (Low SN and SP)
+*Positive = Ipsilateral facial twitching
-**Tapping on the face just anterior to the ear and just below the zygomatic bone
-**Positive = Ipsilateral facial twitching
 ==Management==