Hypocalcemia medical therapy: Difference between revisions
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* And patients who are requiring intravenous (IV) repletion should be admitted. | * And patients who are requiring intravenous (IV) repletion should be admitted. | ||
** Preferred regimen (1): Elemental calcium 1-3 g/d. | ** Preferred regimen (1): Elemental calcium 1-3 g/d. | ||
==== Severe Hypocalcemia ==== | |||
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===Contraindicated medications=== | ===Contraindicated medications=== | ||
Revision as of 16:49, 10 July 2018
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Hypocalcemia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Hypocalcemia medical therapy On the Web |
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American Roentgen Ray Society Images of Hypocalcemia medical therapy |
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Risk calculators and risk factors for Hypocalcemia medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Cause, severity and the presence of symptoms decide the treatment of hypocalcemia. In mild to moderate cases hypocalcemia can be treated by giving oral calcium and vitamin D supplements but in severe cases intravenous (IV) calcium gluconate is preferred. Most of the hypocalcemic cases are mild and require only supportive treatment and laboratory evaluation.
Medical Therapy
- Pharmacologic medical therapies for hypocalcemia include calcium, vitamin D , calcium gluconate
- Patients who are presenting with asymptomatic hypocalcemia symptoms it is important to repeat the levels of ionized calcium and confirm it.
THERAPEUTIC APPROACH
- Patients who are presenting with hypocalcemia we recommend intravenous (IV) calcium especially who are showing the following features
- Patients who have prolonged QT interval.
- Patients who are having serum corrected calcium to ≤7.5 mg/dL.
- Patients who are positive for clinical symptoms like carpopedal spasm, tetany, seizures.
- Patients who are presenting with milder symptoms of neuromuscular irritability like paresthesias and corrected calcium levels more than 7.5 mg/dL treating with oral calcium and vitamin D supplements is of first choice.
- Patients with milder hypocalcemia who are on the oral supplements and shows no sign of improvement the next best best step in treating would be switching to IV calcium.
- And patients who are requiring intravenous (IV) repletion should be admitted.
- Preferred regimen (1): Elemental calcium 1-3 g/d.
Severe Hypocalcemia
Contraindicated medications
Hypocalcemia is considered an absolute contraindication to the use of the following medications: