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31 Ιουλ 2024 · Hypocalcemia is a common metabolic problem in newborns. The etiology, definition, evaluation, and management of neonatal hypocalcemia are reviewed here. Calcium requirements, neonatal bone health, and the etiology of hypocalcemia after the neonatal period are discussed elsewhere.
- Carrie Armsby, Md, MPH
Section Editors Joseph A Garcia-Prats, MD Section Editor —...
- Carrie Armsby, Md, MPH
Elementary calcium replacement of 40 to 80 mg/kg/d is recommended for asymptomatic newborns. Elementary calcium of 10 to 20 mg/kg (1–2 mL/kg/dose 10% calcium gluconate) is given as a slow intravenous infusion in the acute treatment of hypocalcemia in patients with symptoms of tetany or hypocalcemic convulsion.
Early-onset hypocalcemia ordinarily resolves in a few days, and asymptomatic neonates with serum calcium levels > 7 mg/dL (1.75 mmol/L) or ionized calcium > 3.5 mg/dL (0.88 mmol/L) rarely require treatment.
How is hypocalcemia in the newborn treated? Hypocalcemia may get better without treatment, especially if there are no symptoms. Early hypocalcemia most often goes away in a few days. Babies with late hypocalcemia may have calcium supplements in their feedings or in an IV. Key points about hypocalcemia in the newborn
15 Απρ 2021 · Infants and children on low calcium intake require close monitoring for possible development of hypocalcemia and rickets. Parathyroid surgery remains the treatment of choice for adults and children with symptomatic primary hyperparathyroidism.
19 Ιουν 2019 · This review article will cover hypocalcemia with specific reference to calcium homeostasis and definition, etiology, diagnosis, and treatment of hypocalcemia in newborn and infancy...
Late-onset neonatal hypocalcemia may be caused by increased dietary phosphate content, neonatal vitamin D deficiency, hypomagnesemia, hypoparathyroidism, or parathyroid hormone resistance. We present a neonate with hypocalcemia due to transient hypoparathyroidism secondary to maternal adenoma.
