Question

A client is admitted with hypocalcemia. What are possible causes of hypocalcemia?

Answer 1

Hypocalcemia can result from the following factors:

• Lack of vitamin D or vitamin D resistance

• post-surgery, hypoparathyroidism

• due to autoimmune illness or hereditary causes of hypoparathyroidism

• Inadequate vitamin D levels are brought on by renal disease or advanced liver disease.
• Hypoparathyroidism, also known as pseudohypoparathyroidism

• Parathyroid gland metastatic growth or heavy metal (copper, iron) invasion

Acute hypocalcemia is characterised by neuromuscular irritability. Cardiovascular symptoms of acute hypocalcemia are possible. Chronic hypocalcemia is frequently brought about by insufficient parathyroid hormone or vitamin D levels or by hormone resistance.

The right course of treatment depends on knowing the difference between acute and chronic hypocalcemia and between hypocalcemia with no symptoms and hypocalcemia with severe symptoms.

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