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Calcium balance (Calcitriol (Active form of Vitamin D3 (liver (kidney #),…
Calcium balance
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Calcium
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High serum levels # stimulate
low serum levels # stimulate
Calcitonin released
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Urinary excretion of Ca & PO4 # #
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Parathyroid
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Ca Sensing Receptors
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Kidney
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inhibits Phosphate & Bicarbonate reabsorption #
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Signs/Symptoms
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Abdominal Groans”- Nausea, vomiting, abdominal pain, constipation
“Psychic Moans”- Intellectual weariness, disorientation, depression
Fatigue Overtones”- General malaise, headache, fatigue
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Cardia
Hypertension, palpitations, prolonged PR or shortened QT intervals are possible
May see Bradyarrhythmias, heart block, asystole
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Signs/symptoms
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Muscle cramps and exaggerated DTRs
Tingling in the circumoral area, hands, and feet
Severe
Tetany, convulsion, Stridor
Irritability, Altered Mental Status
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Trousseau’s Sign:
Carpal Spasm due to hypocalcemic tetany after BP cuff pumped to greater than systolic BP for at least 3 minutes
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