Hypocalcemia Treatment

General treatment of hypocalcemia is intravenous injection of 10% diluted calcium gluconate 10ml (containing Ca2 +90 mg). Injection process should closely monitor the heart rate, in order to prevent the occurrence of serious arrhythmias. If symptomatic recurrent hypocalcemia can be 6 to 8 hours of 10 ~ 15mg/kg infusion of Ca2 +. Calcium chloride may also be used, but to stimulate the large vein. Ca2 + concentration should not be greater than 200mg/100ml, the prevention of extravasation resulting from intravenous and soft tissue irritation. If patients with hypomagnesemia must be corrected.

Chronic hypocalcemia is treated base on causes of disease, such as hypomagnesemia, a lack of vitamin D, etc.; the other could take orally calcium and vitamin D preparation. Oral calcium preparations including calcium gluconate, calcium citrate and calcium carbonate. General can be served every day 1 ~ 2g, cod liver oil with vitamin D, can promote calcium absorption from the intestine, but the role of slow. Monitoring should always adjust the amount of calcium. Activity of vitamin D3, including 25 - (OH) D3 and 1,25 - (OH) 2D3, the role of rapid, with 1 ~ 3 days after the entry into force, and the role of time is short, the use of more security. Non-renal failure, chronic hypocalcemia may also be at the basis of low-salt diet on the use of Thiazide diuretics in order to reduce the discharge of calcium.