Minerals (Calcium, Phosphorus, Magnesium) Flashcards
Parathyroid hormone
Increases Ca, decreased P
Acts in minutes
Targets bone and kidney
Vitamin D (Calcitrol)
Stimulated by PTH
Increased GI absorption of both Ca and P
Acts in days
Targets GI
Calcitonin
Decreased serum Ca by inhibiting PTH
Acts in hours
Targets bone and kidney
Causes of hypocalcemia
HARP IS ALE
Hypoparathyroidism
Hypoalbuminemia
Renal Failure
Pancreatitis
Intestinal malabsorption
Spurious
Alkalosis
Lactation
Ethylene Glycol
Eclampsia
Periparturient hypocalcemia
1-3 weeks postpartum Small dogs Loss of Ca in milk and for skeletal muscle development Seizures, trembling, twitching, etc. Treat with IV calcium gluconate
Milk Fever
Dairy cows
Flaccid paralysis
Classic “S” shaped curve to neck
Ca loss to fetal skeletal development and milk production
Inadequate reabsorption from intestine/release from bone
Clinical signs of hypocalcemia
Increased neuron excitability
Nervousness, behavioral change, trembling, panting, muscle twitches, cramping, stiff gait, seizures
Cats: intense facial rubbing
Cows: flaccid paralysis
Causes of hypercalcemia
GOSH DARNIT
Granulomatous
Osteolysis
Spurious
1 Hyperparathyroidism
Vitamin D toxicosis Addison's (2nd most common cause) Renal dz Neoplasia (MOST COMMON) Idiopathic Temperature- hypothermia
Clinical signs of hypercalcemia
PU/PD
Lethargy, weakness
Constipation
Calcium containing uroliths
Most common cause of hypercalcemia
Humoral hypercalcemia of malignancy
PTH-rP produced by tumors (anal gland adenocarcinoma, multiple myeloma, lymphoma)
Most common cause of hyperphosphatemia
DECREASED RENAL EXCRETION because of RENAL DISEASE
Clinical signs of HYPOphosphatemia
Intravascular hemolysis
Neuromuscular signs
Serum calcium levels depend on
Dietary intake
Intestinal reabsorption
Skeletal reabsorption
Renal reabsorption and excretion
Losses to saliva, lactation, fecal, sweat
Regulatory hormone concentrations (PTH, calcitrol, calcitonin, PTH-rP)
Regulation of phosphorous
PTH: decreases P
Calcitonin: decreases P
Vitamin D: increases P
Growth Hormone: increases P
Most common cause of hypomagnesemia in ruminants
Decreased intake
Put on lush, green pastures (Mg deficient)
“Grass Tetany”