Diferencia entre revisiones de «Hypocalcemia»
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##Pancreatitis
##Pancreatitis
##Hypomag
##Hypomag
##Rhabdo
##Rhabdo (phosphate overload)
#Decreased absorption
#Decreased absorption
##Vit D def
##Vit D def

Revisión del 05:08 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

  1. Paresthesias
  2. Inc DTRs
  3. Cramps
  4. Weakness
  5. Confusion
  6. Sz
  7. Chvostek/Trousseau
  8. ECG
    1. QT prolongation

DDX

  1. Misc
    1. Shock
    2. Sepsis
    3. Pancreatitis
    4. Hypomag
    5. Rhabdo (phosphate overload)
  2. Decreased absorption
    1. Vit D def
  3. Increased excretion
    1. Alcoholism
    2. Renal failure
    3. Diuretics
  4. Endocrine
    1. Hypoparathyroidism
  5. Drugs
    1. Cimetidine
    2. Phenytoin
    3. Lasix

Treatment

  1. Asymptomatic
    1. calcium gluconate 1 gm PO Q6hrs
    2. vitamin D (calcitriol) 0.2 mcg BID
  2. Symptomatic
    1. calcium gluconate/chloride 10mL of 10% sol over 10min IV

Source

2/12/06 DONALDSON (adapted from Tintinalli)

Obtenido de «https://www.wikem.org/w/index.php?title=Hypocalcemia&oldid=2138»