{"id":1459,"date":"2017-07-19T10:11:49","date_gmt":"2017-07-19T10:11:49","guid":{"rendered":"http:\/\/papergp.com\/index.php\/data-interpretation\/calcium\/hypocalcaemia\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"hypocalcaemia","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/data-interpretation\/calcium\/hypocalcaemia\/","title":{"rendered":"Hypocalcaemia"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Signs and symptoms\n<ul>\n<li>Peri-oral and\/or digital paraesthesia<\/li>\n<li>Spasms of hands, feet<\/li>\n<li>Laryngospasms, seizures<\/li>\n<li>Facial spasm after tapping facial nerve (Chvostek&#8217;s sign)<\/li>\n<\/ul>\n<\/li>\n<li>Causes\n<ul>\n<li>Low magnesium<\/li>\n<li>Vitamin D deficiency<\/li>\n<li>Medications &#8211; PPIs, Furosemide, Anticonvulsants, Bisphosphonates, Calcitonin, Cinacalcet<\/li>\n<li>Hungry bone syndrome<\/li>\n<li>High phosphate intake<\/li>\n<li>Acute pancreatitis<\/li>\n<li>Early rhabdomylosis<\/li>\n<li>Hypoparathyroidism<\/li>\n<li>Pseudohypoparathyroidism<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>&lt; 1.8 mmol\/L or symptomatic\n<ul>\n<li>If symptomatic &#8211; admit to A+E<\/li>\n<li>If not acutely unwell &#8211; discuss with medical team for urgent repeat calcium<\/li>\n<\/ul>\n<\/li>\n<li>1.8 &#8211; 2.19 mmol\/L and asymptomatic\n<ul>\n<li>Bloods &#8211; Repeat Ca, Bone profile, Magnesium, U+E, LFTs, vitamin D, PTH\n<ul>\n<li>Low magnesium\/Vitamin D &#8211; correction is necessary to correct calcium<\/li>\n<li>PTH raised, other bloods normal &#8211; possible borderline vitamin D deficiency, medications, early rhabdomyolysis, pseudohypoparathyroidism<\/li>\n<li>PTH low\/normal, other bloods normal &#8211; consider medications, hungry bone syndrome, hypoparathyroidism<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Signs and symptoms Peri-oral and\/or digital paraesthesia Spasms of hands, feet Laryngospasms, seizures Facial spasm after tapping facial nerve (Chvostek&#8217;s sign) Causes Low magnesium Vitamin D deficiency Medications &#8211; PPIs, Furosemide, Anticonvulsants, Bisphosphonates, Calcitonin, Cinacalcet Hungry bone syndrome High phosphate intake Acute pancreatitis Early rhabdomylosis Hypoparathyroidism Pseudohypoparathyroidism &nbsp; Clinical management &lt; 1.8 mmol\/L &hellip; <a href=\"https:\/\/papergp.com\/index.php\/data-interpretation\/calcium\/hypocalcaemia\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Hypocalcaemia<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1452,"menu_order":25,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1459","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1459","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1459"}],"version-history":[{"count":4,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1459\/revisions"}],"predecessor-version":[{"id":2086,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1459\/revisions\/2086"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1452"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}