Calcium Flashcards
1
Q
Acute Hypocalcemia
A
Hyperesthesia/pawing at face, tremors progressing to flaccid paralysis, seizures, hyperthermia, bradycardia
Periparturient hypocalcemia = ‘Milk fever’; sudden increase in calcium usage for which patient cannot adapt readily enough
Replace the calcium deficit until the patient can catch up
2
Q
Acute hypocalcemia parental calcium options
A
Calcium gluconate or Calcium chloride
Ca2+ chloride is causes - never give SQ/IM
Ca2+ gluconate should be diluted if giving SQ, IV is better
3
Q
Chronic hypocalcemia
A
HypoPTH
Hypoparathyroidism results in inability of body to convert vitamin D to its active form, Calcitriol
No PTH means the GI tract can’t absorb Ca2+
4
Q
Chronic hypocalcemia oral options
A
Calcium carbonate
Calcium proprionate
