hypocalcemia Treatment

## hypocalcemia Treatment

Symptom(-) -> repeat serum Ca, ionized Ca, albumin

Acute severe symptom(+), serum corrected calcium ≤7.5 -> IV Calcium gluconate

10% Calcium gluconate 2g (= 1A = 20ml) IV over 10 minutes

-> 6g calcium gluconate in 5DW 500ml over 4-6hours

Chronic mild symptom(+) or 7.5 <serum corrected calcium< 8.0 or 3.0 < iCa < 3.2 -> oral calcium + vit D

1500~2000 mg of elemental calcium: calcium carbonate or calcium citrate daily, in divided doses 

# Hypomagnesimia(+) Mg<1.3 -> 반드시 교정
10% magnesium sulfate 2 g(16 meq) 10~20분에 걸쳐 IV à1 g(8 meq) in 100 mL of fluid per hour IVF

# Permanent hypoparathyroidism
-> target 8~8.5