Symptomatic Hypocalcemia

In severe hypo calcima, i v calcium isi must as oral calcium will not absorb quickly enough to correct the acute issue. Start with one to two grams of i v calcium glucinate in 50 m l of five % dextros d five w or normal saline and run it over ten to 20 minutes. Once you have achieved a low normal level, you can introduce orl calcium and wean off the ivy infusion. If your ivy goes intersticial, as always, avoid running your calcium faster than ten minutes, as this can precipitate cardiac arythmis or cardiac arrest.