correcting Ca+

[APACHE3]

So what do you use to correct your patients Ca+? IV push Ca gluconate? How long does that suffice? Thanks

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[Mumpu]

Ca gluconate IVP until their skin can deflect bullets thanks to the Ca-Phos product precipitation.

 

[ekydrd]

Oh, this is fun!

PO replacement with calcium carbonate is always a good choice. By the way, what is the pt's albumin? Remember to correct the calcium for low or high albumin... for every 1 mg below 4.0 of albumin add 0.8 to the calcium or for every 1 above 4.0 decrease the calcium by 0.8. Often what appears to be a low calcium is actually in the normal range. If still in doubt get the ionized calcium.

Calcium gluconate is good for when the pt has hyperkalemia to stabilize the myocardium, but not good for raising low serum calcium levels.

 

[souljah1]

For stabilizing the membrane: 2 amps Calcium gluconate (lasts about an hour)

For hypocalcemia: Don't replete unless they are symptomatic or you know they will be in the near future. Correct for a low albumin. If you're gonna give something, give Calcium Carbonate 500-1000 TID in between meals.

 

[gwen]

or you could look this up in a book, up to date, ask an attending instead of an online forum. although most of what is said here is true/right, you should never treat patients based on information off of SDN.

 

[sdn1977]

For stabilizing the membrane: 2 amps Calcium gluconate (lasts about an hour)

For hypocalcemia: Don't replete unless they are symptomatic or you know they will be in the near future. Correct for a low albumin. If you're gonna give something, give Calcium Carbonate 500-1000 TID in between meals.

Don't forget to order Colace bid prn with this!

 

[Tapout]

Don't forget to order Colace bid prn with this!

And do not forget that colace almost never works!! Sorry, but I cannot resist.