Diferencia entre revisiones de «Hypocalcemia»
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==Diagnosis== | ==Diagnosis== | ||
Symptoms | Signs/Symptoms | ||
# | #Paresthesias | ||
# | #Inc DTRs | ||
# | #Cramps | ||
# | #Weakness | ||
# | #Confusion | ||
# | #Sz | ||
#Chvostek's/Trouseau's | #Chvostek's/Trouseau's | ||
# | #ECG | ||
##QT prolongation | |||
==DDX== | ==DDX== | ||
Revisión del 18:38 9 abr 2011
Background
Low <8.5 (<2.0 ionized)
Low! <6.5 (<1.5 ionized)
Correct for hypoalbumimia
Diagnosis
Signs/Symptoms
- Paresthesias
- Inc DTRs
- Cramps
- Weakness
- Confusion
- Sz
- Chvostek's/Trouseau's
- ECG
- QT prolongation
DDX
- Shock
- sepsis
- renal failure
- cimetidine
- hypoparathyroid
- inc phos
- vit D def
- fat embolism
- strychnine
- hypomag
- tetanus
Treatment
- Asymptomatic
- calcium gluconate 1 gm PO Q6hrs
- vitamin D (calcitriol) 0.2 mcg BID
- Symptomatic
- calcium gluconate/chloride 10mL of 10% sol over 10min IV
Source
2/12/06 DONALDSON (adapted from Tintinalli)