hypocalcemia question hypocalcemia question | allnurses

hypocalcemia question

  1. 0 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?
  2. 6 Comments

  3. Visit  Al.ginger profile page
    I go with Vit D. Diuretic my mess up other lytes. Which can already be in the boarder line. Why pt. has a hypocalcemia?
    Meriwhen likes this.
  4. Visit  skulskcc01 profile page
    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.
  5. Visit  ScottE profile page
    A thiazide diuretic is more a long term therapy particularly in post menopausal women with osteoporosis. You'd probably see a calcium supplement along with vitamin D ordered for a more acute hypocalcemia.
    skulskcc01 likes this.
  6. Visit  skulskcc01 profile page
    I know, I know. I realize my mistake and from this day forward I will not doubt my first answer. hah
  7. Visit  ScottE profile page
    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.
    Esme12 likes this.
  8. Visit  nurseprnRN profile page
    i'm thinking calcium gluconate, especially if it's a fresh thyroidectomy patient (laryngeal stridor and crampy fingers...classic, classic question you'll see in nclex). or were those the only two choces they gave you?

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