علاج نقص الكالسيوم الحاد مع كالسيوم المصل أقل من 1.9 ملي مول/لتر أو الحالات العرضية

References

DOI: 10.1530/EC-16-0056

• Severe hypocalcaemia: serum calcium <1.9 mmol/L and/or symptomatic at any level below reference range.
• Administer i.v. calcium gluconate.
• Titrate the rate of infusion to achieve normocalcaemia and continue until treatment of the underlying cause has taken effect.
• This can be repeated until the patient is asymptomatic.
• Monitor serum Mg² and aim to achieve normal serum magnesium level.
• Treat the underlying cause; in post-operative hypocalcaemia and other cases of hypoparathyroidism, this consists of alfacalcidol or calcitriol therapy.
• Vitamin D deficiency or hypomagnesaemia should be treated as described above.