Hypocalcemia

Hypocalcemia
Figure 19-1 Inadequate intake and excessive losses.
CAUSES
Normally, calcium is extracted from the bone and replaced on a daily basis. In addition, the amount of calcium that is absorbed from the intestine is matched by that excreted through the kidneys. All of this calcium exchange is controlled by the parathyroid hormone. Hypocalcemia results when the calcium level falls below 8.5 mg/dL or 4.5 mEq/L. Hypocalcemic states occur through excessive loss of calcium from the body, from either a lack of ingestion or absorption of the mineral. Alcoholics are particularly prone to developing hypocalcemia secondary to a lack of intake and poor absorption related to a malnourished state (Table 19-1).
Pancreatitis can result in hypocalcemia due to a decreased absorption and an increased excretion of calcium. Pancreatitis results in a decrease in pancreatic lipase, which normally helps with the digestion of dietary fats. Because the fats cannot be absorbed, calcium from the diet and that secreted into the intestine cannot be absorbed. Instead, calcium is bound to the undigested fat and excreted from the body.
Table 19-1 Causes of Hypocalcemia

Alcoholism

Hypoalbuminemia secondary to

Pancreatitis

Cirrhosis

Gastrointestinal problems

Malnutrition

Prolonged diarrhea

Nephrosis

Overuse of laxatives

Burns

Chronic renal failure

Chronic illness

Decreased parathyroid hormone

Sepsis

Hyperphosphatemia

Medications

Mithramycin

Calcitonin

Diuretics

Cisplatin

Gentamicin

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Oct 17, 2016 | Posted by in NURSING | Comments Off on Hypocalcemia

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