hypocalcemia
HYPOCALCEMIA
Hypocalcemia is the occurs when serum calcium concentration is below the lower limit of normal range.
Acute hypocalcemia has neuromuscular tetany as hallmark symptom. Patients have rapid decrease in serum calcium and present with symptomatic hypocalcemia.
It is an emergency condition and requires immediate attention. Ca (IV) should be administered until signs and symptoms abate or until serum Ca levels rise.
Chronic hypocalcemia has asymptomatic mild hypocalcemia. Treatment is necessary to avoid long term complications. Oral Ca may be administered.

Follow Up

  • Monitor serum Ca for the 1st month
    • Daily if severe hypocalcemia
    • Wkly if moderate hypocalcemia
  • Measure serum parathyroid hormone levels, 24 hr urinary Ca w/in 2-4 wk of start of therapy
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