Diferencia entre revisiones de «Hypocalcemia»
(→DDX) |
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==DDX== | ==DDX== | ||
#Shock | #Misc | ||
# | ##Shock | ||
# | ##Sepsis | ||
# | ##Pancreatitis | ||
# | ##Hypomag | ||
# | ##Rhabdo | ||
# | #Decreased absorption | ||
# | ##Vit D def | ||
# | #Increased excretion | ||
# | ##Alcoholism | ||
# | ##Renal failure | ||
##Diuretics | |||
#Endocrine | |||
##Hypoparathyroidism | |||
#Drugs | |||
##Cimetidine | |||
##Phenytoin | |||
##Lasix | |||
==Treatment== | ==Treatment== | ||
Revisión del 05:06 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
- Misc
- Shock
- Sepsis
- Pancreatitis
- Hypomag
- Rhabdo
- Decreased absorption
- Vit D def
- Increased excretion
- Alcoholism
- Renal failure
- Diuretics
- Endocrine
- Hypoparathyroidism
- Drugs
- Cimetidine
- Phenytoin
- Lasix
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)