Hypocalcemia (Continued)

Hypocalcemia Dietary Intake Interventions?

• Yogurt

• Milk

• Cheese

• Sardines and canned salmon

• Tofu

• Ice cream

• Spinach

• Rhubarb

Hypocalcemia Interventions?

• Monitor vital signs

• Monitor electrocardiogram (ECG)

• Take precautions against falls and seizures

• Administer oral/IV calcium supplements (lactated ringer solution) as prescribed

Hypocalcemia Oral Supplementation Interventions?

• Encourage patients to take calcium supplements along with vitamin D as prescribed

• Increase oral fluids intake to at least 2500 mL/day to prevent constipation and reduce the risk of kidney stones

Take Action for Hypocalcemia Electrolyte Replacement

• Administering oral or IV calcium

• Monitoring vital signs

• Reviewing dietary sources of calcium

Evaluation for Hypocalcemia Electrolyte Replacement (Improving)

• Patients calcium is above 8.5 mg/dL

• Normal vital signs

• Negative Vanuatu’s sign and trousseau sign

• Resolution of increased neuromuscular excitability

• Absence of muscle cramps, tetany, cardiac dysrhythmias, numbness and tingling of extremities, hyperactive reflexrdd, laryngospasm, and seizures