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 first month
    • Daily if severe hypocalcemia
    • Weekly if moderate hypocalcemia
  • Measure serum parathyroid hormone levels, 24 hour urinary Ca within 2-4 weeks of start of therapy
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