Hypocalcemia
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emcrit.org
Hypocalcemia
CONTENTS Signs & symptoms EKG findings Labs Etiology Investigation of the cause Treatment Hypocalcemia pharmacology Enteral calcium IV calcium Calcitriol Hungry Bone Syndrome (HBS) Clinical manifestations relate to both the magnitude and acuity of hypocalcemia. symptoms Neuromuscular excitation: Anxiety, delirium, depression, coma. Paresthesias ...
6 months ago
Hypocalcemia Symptoms
Hypocalcemia: Expert Explains The Condition And Management Tips
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🔴 Hypocalcemia: Diagnosis & Management ⤵️ 🔹 Diagnosis: Serum calcium <8.5 mg/dL (correct for albumin), measure PTH, vitamin D, Mg²⁺, phosphate. Causes: PTH-independent (e.g., vitamin D deficiency, CKD) or PTH-dependent (e.g., DiGeorge, hypoparathyroidism). 🔹 Features: Neuromuscular (tetany, Chvostek/Trousseau), cardiac (prolonged QTc), neuronal (seizures). 🔹 Management: Severe (<7.5 mg/dL or symptomatic): IV calcium gluconate (1-2 g/10-20 min). Mild: PO Ca²⁺ and calcitriol. Address cause; us
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🔴 Hypocalcemia: Diagnosis & Management ⤵️ 🔹 Diagnosis: Serum calcium <8.5 mg/dL (correct for albumin), measure PTH, vitamin D, Mg²⁺, phosphate. Causes: PTH-independent (e.g., vitamin D deficiency, CKD) or PTH-dependent (e.g., DiGeorge, hypoparathyroidism). 🔹 Features: Neuromuscular (tetany, Chvostek/Trousseau), cardiac (prolonged QTc), neuronal (seizures). 🔹 Management: Severe (<7.5 mg/dL or symptomatic): IV calcium gluconate (1-2 g/10-20 min). Mild: PO Ca²⁺ and calcitriol. Address cause; us
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