Hypocalcemia

Hypocalcemia

1. Indications of Hypocalcemia: Hand/finger or feet spasms during sustained blood pressure cuff inflation (positive Trousseau's sign)

   • Chvostek sign: Twitching response when a set of facial nerves is tapped.

2. At risk for: Risk for seizures due to overstimulation of the central nervous system.

3. This statement requires further teaching: "Clients who have hyper-calcemia are at risk for pathologic fractures.

4. Often Linked to Hypocalcemia: Vitamin D or Magnesium Deficiency

5. Causes of Hypocalcemmia: Acute Pancreatitis, Kidney failure, Phosphate or calcium infusion, Hypoparathyroidism (often after surgery), diabetes of the mother (in the case of infants), Spreading cancer, and certain drugs.

6. At Risk for Hypocalcemia: Newborns, History of GI disorders, Pancreatitis, Renal or liver failure, anxiety disorders and hyperthyroidism.

7. S/S: Infants may twitch or tremor. Adults may experience: seizures, muscle stiffness, anxiety or depression. Hypotension, CHF, Dementia, cataracts, ecsema, Dry or course skin, Parkinsonism, Papilledema.

8. Tx for Hypocalcemia: Calcium supplements, Vit D or magnesium supplements.

9. Risks associaed with Hypocalcemia: Development of Osteoporosis because their bones release calcium in to their bloodstream. Kindey stones, Kidney failure, abnormal heart beats, and problems associated with the nervous system.

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