Hypocalcemia

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ATP-DEPENDENT

Ca PUMP -LIGAND-GATED
CHANNEL
*MOST CELLS
-
* CDNTROLLED BY
Nat-Car HoRMONES &
NEUROTRANSMITTERS
ExCHANGER
VOLTAGE-GATED
CHANNEL
* MUSCLE & NERVE
ORGANELES CELLS

*CONTROLLED BY
eg- MITO CHONDRIA &
SMOOTH ENDOPLASMIC ELECTRIC MEMBEANE
RErI PoTENTIAL
ExTRACEUwLAR Ca (Bio00 +luTeRSTITIUM)
* DIFFUSIBLE * heuron action potentials
* Contraction of muscle
hormone secretion
SMALL
LcOMPLEXED blood Coaqulation
OXALATE
~ELELTRICALY NEUTPAL
n NOT USEFUL for CeLLVLAR PRoceSSES
* NOT DIFFUSIBLE
HYPOCALCEMIA
LESS
LOw

HYPOPAPATHYROLDISM Low VITAMIN D


* DeFIIENT DIET
MAGNESluM
DEFICIENCY SURGICAL
* MALABSORPTION
REMOVAL
CIRRHOSIS
CONGENITAL AUTOIMMUNE
LACK of SuNLIGHT
5
PROBLEMS
OGeorge Syndrone
DeSTRUCTION
* CHRONIc RENAL FAILURE
HYPOCALCEMIA
MORE

Too MUCH EXCRETION TissUE INJURY


c.g. BußuS, RHABDOMYO;YSIS,
KIDNEY Cazt FiLTERED TUMOR LYSIS SYNDROME
FAILURE

CaspergSORGED LwsouusLe
OTHER INFLAMMATORY PROESSES
* AcUTE PANCREATITIS
cazt ExcRETED n
URINE
Low Cazr.

OTHER SYMPTOMS
MUSCLEt CRAMPS
TETANY CHVOSTEKS * ABDOMINAL PAIN
SIGN
TROUSSEAVs * PERIORAL TINGLING
* INVOLUNTARY
MUSCLE SlGN
CONTRACTION
DIAGNOSIS
*Low Ca n BLOOD~ <3.5
<85 mglaL
Prolonged St seghcnt
*ELECTROCAPDIOGRAM
CARRHYTHMIAS
eq- ToRSADES DE PoINTES
* LAB TESTS -prolanqed QT
LlevELS of PARATHYROID HORMONE VITAMIN D, ALBUMIN,
PHOSPHORUS,2 MAGNESIUM
TREATMENTNOgMAUZE Co*
* CALCIUM GLUcONATE
4 UITAMIN D SUPPLEMENTATION
HYPOCALCEMIA
Low Ca nthre BLOOD
Low Ca CONTROLLING
HORMONES CELS MOPE
ExcITABLE StMPTOMS
PARATHYROID HORMDNE * TETANY
MUSCLE SP ASM
K CARDIAC
k pCTIVE yiTAMIN D DYSFUNCTION

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