Indications en urgence du traitement par calcium intraveineux : cas clinique d’hypocalcémie et revue de la littérature

Daoudia, Anas;Manara, Alessandro;Thys, Frédéric
(2015) Louvain médical — Vol. 134, n° 2, p. 68-73 (2015)

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  • Daoudia, AnasUCLouvain
    Author
  • Manara, AlessandroUCLouvain
    Author
  • Thys, FrédéricUCLouvain
    Author
Abstract
(en) [Emergency indications of intravenous calcium: a case report followed by a literature review.] Certain emergent clinical situations require the administration of intravenous calcium. Severe hyperkalemia with EKG changes is the most common emergency indication while other indications exist. We report a case of severe hypocalcemia treated by intravenous route. Acute hypocalcemia can cause peri-arrest arrhythmias by prolonging the QT interval. Symptomatic hypocalcemia must be compensated by means of calcium administration. When given by intravenous route, it is recommended to administer 2g of calcium over 20 minutes under cardiac monitoring. With the exception of life-threatening conditions, calcium gluconate is generally preferred over calcium chloride due to its lesser concentration in elemental calcium, which reduces the risk of induced hypercalcemia.
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Daoudia, A., Manara, A., & Thys, F. (2015). Indications en urgence du traitement par calcium intraveineux : cas clinique d’hypocalcémie et revue de la littérature. Louvain médical, 134(2), 68-73. https://hdl.handle.net/2078.5/34455 (Original work published 2015)