Diferencia entre revisiones de «Hypocalcemia»
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#Incr DTRs | #Incr DTRs | ||
#Cramps | #Cramps | ||
#Weakness | #[[Weakness]] | ||
#Confusion | #[[Confusion]] | ||
# | #[[Seizures]] | ||
#Chvostek/Trousseau | #Chvostek/Trousseau | ||
==Diagnosis== | ==Diagnosis== | ||
#ECG | #[[ECG]] | ||
##QT prolongation | ##[[QT prolongation]] | ||
==DDX== | ==DDX== | ||
#Misc | #Misc | ||
##Shock | ##[[Shock]] | ||
##Sepsis | ##[[Sepsis]] | ||
##Pancreatitis | ##[[Pancreatitis]] | ||
##Hypomag | ##[[Hypomag]] | ||
##Rhabdo (phosphate overload) | ##[[Rhabdo]] (phosphate overload) | ||
#Decreased absorption | #Decreased absorption | ||
##Vit D def | ##Vit D def | ||
#Increased excretion | #Increased excretion | ||
##Alcoholism | ##Alcoholism | ||
##Renal | ##[[Renal Failure]] | ||
##Diuretics | ##Diuretics | ||
#Endocrine | #Endocrine | ||
| Línea 46: | Línea 46: | ||
#Symptomatic | #Symptomatic | ||
##Calcium gluconate/chloride 10mL of 10% soln IV over 10min | ##Calcium gluconate/chloride 10mL of 10% soln IV over 10min | ||
*Correct hypomag at same time (otherwise PTH is inhibited) | *Correct [[hypomag]] at same time (otherwise PTH is inhibited) | ||
==See Also== | |||
*[[Electrolyte Abnormalities (Main)]] | |||
==Source == | ==Source == | ||
Revisión del 07:49 18 dic 2013
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
Clinical Features
Diagnosis
DDX
- Misc
- Shock
- Sepsis
- Pancreatitis
- Hypomag
- Rhabdo (phosphate overload)
- Decreased absorption
- Vit D def
- Increased excretion
- Alcoholism
- Renal Failure
- Diuretics
- Endocrine
- Hypoparathyroidism
- Drugs
- Cimetidine
- Phenytoin
- Lasix
Treatment
- Be careful in digoxin pts
- Asymptomatic
- Calcium gluconate 1 gm PO Q6hrs
- Vitamin D (calcitriol) 0.2 mcg BID
- Symptomatic
- Calcium gluconate/chloride 10mL of 10% soln IV over 10min
- Correct hypomag at same time (otherwise PTH is inhibited)
See Also
Source
- Tintinalli