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hypocalcemia - Coggle Diagram
hypocalcemia
causes
Low pth ( due to surgery / damage to para glands)
Oral intake inadequate
Wound drainage (esp GI)
Celiac , Crohn's
Acute pancreatitis
Low Vit D
CKD
Increased phosphate intake
Using med ( ca binder, diuretic, laxatives)
Mobility issues
S&S
C
confusion
R
Reflex hyperactive
A
Arrhythmias , prolong QT , ST
M
Muscle cramps, weakness, seizure, tetany
P
Positive Trousseau's and Chvostek's signs
S
Signs of Chvostek's signs
interventions
IV ca
normally CVL due to easily cause phlebitis / sloughing
giv slowly
watch for dysarrhythmias
w/o digoxin toxicity ( due to hypercal)
safety
vit D + oral calcium
after meal / during bedtime with full glass of h2o
may cause stomach upset if given with empty stomach
aluminium hydroxide antacids
to decrease phosphate level
E high calcium food
Young Sally 's calcium serum continues to randomly mess-up
Y
Yogurt
S
Spinach
C
Cheese
S
Sardines
C
Collard Greens
T
Tofu
M
Milk
R
Rhubarb