Treatment for acute symptomatic hypocalcemia

What is the treatment for acute symptomatic hypocalcemia?

Acute symptomatic hypocalcemia requires therapy with intravenous calcium. This can be given as 10 to 20 mL of calcium gluconate (90 mg of Ca ++ per 10-mL ampule) infused at no more than 2 mL/min. This should be repeated as needed to keep the patient free of symptoms. In hypocalcemia associated with hypomagnesemia, magnesium replacement also is required.


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