Calcium balance Flashcards
Main symptoms of hypocalcaemia
Muscle tetany
Cardiac problems
What gland is the main cause of hypocalcaemia
Parathyroid
What vitamin is required for normal calcium levels
Vitamin D
Treatment for mild hypocalcaemia
oral calcium
If Vitamin D deficient then start supplements
If low Mg then stop causing drug
What other ion should be checked with hypocalcaemia
Magnesium
What adjusted calcium level is deemed mild hypocalcaemia
1.9<>2.2
What adjusted calcium level is deemed mild hypocalcaemia
<1.9
Treatment for sever hypocalcaemia
Iv Calcium
What does low calcium and low phosphate suggest
Vitamin D deficiency
What plasma level of calcium needs urgent intervention (high Ca)
3.5
Acronym for hypercalcaemia symptoms
Bones, stones, groynes and psychiatric moans
Common renal hypercalcaemia symptoms
Polyuria
polydipsia
nephrolithiasis (kidney stones)
Common GI hypercalcaemia symptoms
Anorexia
Vomiting
constipation
Common msk hypercalcaemia symptoms
Muscle weakness
Common neurological hypercalcaemia symptoms
Loss of concentration
Common cardiovascular hypercalcaemia symptoms
Short Qt interval
Bradycardia
Hypercalcaemia can be a red flag for what condition
cancer
What are 2 most common causes of hypercalcaemia
hyperparathyroidism
cancer
First line treatment for hypercalcaemia
Generous water intake (3L daily)
Vitamin D replacement
What medical treatment can be offered for hypercalcaemia
How does it work?
Cinacalcet
It mimics Ca and does negative feedback to parathyroid
High plasma ca and low urinary ca suggests what
FHH i.e. genetic disorder
leave parathyroids in
