Forward- PH ↑ free calcium ↓ , albumin ↑ 1g/dL→ total calcium ↑ 0.8mg/dL(free calcium ↓ )

Corrected Ca = [0.8 x (normal albumin – patient’s albumin)] + serum Ca level

Presentation- Carpopedal spasm, tetanus, Chvostek’s sign, Trousseau sign, bradycardia

ECG→ QT prolong, T wave inversion , QT prolong



1.If seizure→ 10% calcium gluconate(200~500 mg)

2.No seizure→ 50~75 mg/kg elemental calcium

3.If hypomagnesemia- 6mg/kg elemental magnesium

Published by Steve Johnson

I am a doctor who like to organise knowledges and share ideas with others. As a doctor, a lot of knowledges influx everyday and need some patient to organise and absorb. Here was my notes to share with you and hope to save your time to know it.

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