Diferencia entre revisiones de «Hypocalcemia»
(Created page with "==Background== Low <8.5 (<2.0 ionized) Low! <6.5 (<1.5 ionized) *Correct for hypoalbumimia ==Diagnosis== Symptoms 1) paresthesias 2) inc DTRs 3) cramps 4) weakne...") |
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==Background== | ==Background== | ||
Low <8.5 (<2.0 ionized) | Low <8.5 (<2.0 ionized) | ||
Low! <6.5 (<1.5 ionized) | Low! <6.5 (<1.5 ionized) | ||
Correct for hypoalbumimia | |||
==Diagnosis== | ==Diagnosis== | ||
Symptoms | Symptoms | ||
#paresthesias | |||
#inc DTRs | |||
#cramps | |||
#weakness | |||
#confusion | |||
#sz | |||
#Chvostek's/Trouseau's | |||
#prolonged QT | |||
==DDX== | ==DDX== | ||
#Shock | |||
#sepsis | |||
#renal failure | |||
#cimetidine | |||
#hypoparathyroid | |||
#inc phos | |||
#vit D def | |||
#fat embolism | |||
#strychnine | |||
#hypomag | |||
#tetanus | |||
==Treatment== | ==Treatment== | ||
#Asymptomatic | |||
##calcium gluconate 1 gm PO Q6hrs | |||
Asymptomatic | ##vitamin D (calcitriol) 0.2 mcg BID | ||
#Symptomatic | |||
##calcium gluconate/chloride 10mL of 10% sol over 10min IV | |||
Symptomatic | |||
==Source == | ==Source == | ||
2/12/06 DONALDSON (adapted from Tintinalli) | 2/12/06 DONALDSON (adapted from Tintinalli) | ||
[[Category:FEN]] | [[Category:FEN]] | ||
Revisión del 04:49 14 mar 2011
Background
Low <8.5 (<2.0 ionized)
Low! <6.5 (<1.5 ionized)
Correct for hypoalbumimia
Diagnosis
Symptoms
- paresthesias
- inc DTRs
- cramps
- weakness
- confusion
- sz
- Chvostek's/Trouseau's
- prolonged QT
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)