Diferencia entre revisiones de «Hypocalcemia»
| Línea 7: | Línea 7: | ||
==Diagnosis== | ==Diagnosis== | ||
#Paresthesias | #Paresthesias | ||
#Inc DTRs | #Inc DTRs | ||
| Línea 14: | Línea 13: | ||
#Confusion | #Confusion | ||
#Sz | #Sz | ||
#Chvostek | #Chvostek/Trousseau | ||
#ECG | #ECG | ||
##QT prolongation | ##QT prolongation | ||
Revisión del 05:02 4 may 2011
Background
- Low <8.5 (<2.0 ionized)
- Low! <6.5 (<1.5 ionized)
- Correct for hypoalbumimia
- Corrected Ca = (0.8 * (Normal Alb - Pt's Alb)) + Serum Ca
Diagnosis
- Paresthesias
- Inc DTRs
- Cramps
- Weakness
- Confusion
- Sz
- Chvostek/Trousseau
- 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)