Can IV calcium be given if the phosphorus is high

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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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