Document Detail

Calcium abnormalities in hospitalized patients.
MedLine Citation:
PMID:  22475676     Owner:  NLM     Status:  In-Data-Review    
ABSTRACT: Depending upon the method of measurement, hypocalcemia occurs in 15% to 88% and hypercalcemia occurs in 15% of hospitalized patients. Ionized calcium should be measured in place of total serum calcium to avoid errors related to hypoalbuminemia, which is seen commonly in acutely ill patients. Symptomatic hypocalcemia requires prompt intravenous calcium administration. Symptomatic hypercalcemia (most often caused by hyperparathyroidism or malignancy) warrants aggressive intravenous hydration to correct volume depletion and, usually, additional therapy with diuretics, bisphosphonates, calcitonin, or corticosteroids. Identification and treatment of the underlying cause of the calcium derangement must be addressed after the acute electrolyte abnormality is stabilized.
Sarah French; Jose Subauste; Stephen Geraci
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  105     ISSN:  1541-8243     ISO Abbreviation:  South. Med. J.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  231-7     Citation Subset:  AIM; IM    
From the Division of Endocrinology, Metabolism, and Diabetes, and the Department of Medicine, University of Mississippi School of Medicine, Jackson; and the Medical Service, G.V. (Sonny) Montgomery Veterans Affairs Medical Center, Jackson, Mississippi.
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