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The question didn't state any addition info. It just said patient has hypocalcemia which of the following do you think md would have ordered? My gut told me vitamin d but yesterday I looked up what a thiazide diuretic did which made me over think the question and I went with that. Stupid me, I need to trust my first instinct.
You also might see something like aluminum hydroxide ordered. It's a phosphate binder and as you know phosphate and calcium are inversely related as one goes up the other goes down. So you'll lower the phosphate levels and at the same time raise the calcium levels. This is pretty common in renal dialysis patients.
skulskcc01
67 Posts
If a patient has hypocalcemia would you administer thiazide diuretics or vitamin d?
I know vitamin d facilitates calcium absorption. I also know thiazide diuretics can raise serum calcium. So wouldn't they both raise serum calcium? I feel like I am over thinking this question and the answer is vitamin d. But, why would that be more right than the thiazide diuretic?