Can IV calcium be given if the phosphorus is high

Can IV calcium be given if the phosphorus is high?

While the calcium phosphorus product does not represent the relationship of intravascular calcification, adding calcium to a patient with hyperphosphatemia does induce ectopic calcification. That being said, the risks of acute hypocalcemia including arrhythmia, laryngospasm, and hemodynamic compromise outweigh the long-term risks of vascular calcification. So calcium can be given for symptomatic hypocalcemia even in the presence of hyperphosphatemia.

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