1
Q
S/S of Hypocalcemia
A
- decrease HR/BP
- (+) Trousseau’s/Chvostek
- Diarrhea
- Tetany (muscle spasm)
- ECG: prolong ST, QT
2
Q
ECG
A
- prolong ST, QT
3
Q
What causes Hypocalcemia?
A
- Hypoparathyroidism
- pancreatitis
- Alkalosis
- Meds–>chelators or binderss
- kidney disease
- steatorrhea
4
Q
TX for hpocalcemia
A
- on hand–>10% Ca gluconate
- Ca+ supplement
- IV->Ca+ (warm solution, check infiltration)
- aluminum hydroxide to decrease Phosphours
- Vit D absorption
- food high in Ca+–>dark greens, tofu, rhubarb, sardines
5
Q
NI for hypocalcemia
A
- monitor all system
- initiate seizure precautions
