 Home > Active Ingredient News > Endocrine System > How is acute hypocalcemia treated? The director prefers this drug!

How is acute hypocalcemia treated? The director prefers this drug!

 Last Update: 2022-11-05
 Source: Internet
 Author: User

Tags

what whipped topping

what tachometer measure

Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com

For medical professionals only

Diagnose and treat big and small issues, and see what the guidelines say

Severe acute/symptomatic hypocalcemia, what is the preferred treatment? Usually preferred: intravenous drip of calcium gluconate (due to its high safety, extravasation rarely causes tissue necrosis).

Initial rapid instillation:

Add 1 g or 2 g of calcium gluconate (equivalent to 90 mg or 180 mg of elemental calcium) to 50 mL of 5% glucose solution or normal saline for intravenous infusion for 10-20 min
.
Infusions should not be given too quickly, as this may lead to severe cardiac insufficiency, including systolic arrest
.
This dose of calcium gluconate can only maintain the serum calcium concentration for 2 to 3 hours, and patients with persistent hypocalcemia also need to continue slow calcium infusion
.

slow calcium infusion:

The infusion was prepared with 10% calcium gluconate (90 mg/10 mL elemental calcium) or 10% calcium chloride (270 mg/10 mL elemental calcium).

Add 11g of calcium gluconate (1000mg of elemental calcium) to normal saline or 5% glucose solution to prepare a 1000mL solution, that is, an intravenous infusion containing 1mg/mL of elemental calcium
is obtained.
Initially infusion at a rate of 50 mL/hour (equivalent to 50 mg/h elemental calcium).

Then the dose can be adjusted appropriately to maintain the blood calcium at the lower limit of the normal range, and patients usually need 0.
5-1.
5mg/(kg·h) of elemental calcium (using the serum calcium value after correcting serum albumin abnormalities).

Extended question: For severe acute hypocalcemia, what is the preferred oral treatment?

What are the diagnostic criteria for major diseases?

What are the preferred therapeutic agents and regimens?

What clinical signs and symptoms are the priority to focus on in diagnosing a disease?

Open the clinical guidelines module of the Decision Assistant App and talk to major guidelines

The authoritative guide at home and abroad

The Decision Assistant "Clinical Guidelines" module is available 👇

1.
Scan the QR code below 2.
Download the Clinical Decision Assistant App
3 Open the Decision Assistant app and click the icon

4.
Search Guide

Download the app and read a good guide every day!

Download the Decision Assistant App and check it anytime, anywhere~

Click "Read Original" to get the guidelines

This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.