Approach to hypocalcemia

Approach to Hypocalcemia:

Investigations :

• 1) Serum Calcium 
• 2) serum electrolyte 
• 3)PTH 
• 4) serum lipase & amylase 

Rx:

if symptoms are mild :

• oral calcium.. 5mmol.......6hourly
  

If Ca+: less 2.2 mmol/l

• Inj.calcium gluconate 1 amp+ 10ml D/W, I/V-very slowly over 15 min.

Treatment of underlying cause 

Advice : 

• Eat Calcium containing food