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184 Possible Causes for Hypocalcemia, Paralytic Ileus

  • Acute Pancreatitis

    Systemic complications related to acute pancreatitis include acute respiratory distress syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation, hypocalcemia[ncbi.nlm.nih.gov] A nasogastric tube (NGT) may be inserted for a week or two to drain the contents of the stomach especially with paralytic ileus.[symptoma.com] : Lipase breaks down peripancreatic and mesenteric fat release of free fatty acids that bind calcium hypocalcemia References: [5] [6] [7] Clinical features Constant, severe[amboss.com]

  • Hypomagnesemia

    However, relative decreasing of iPTH ( 70%) (6.691, p 0.001) and hypocalcemia (2.222, p 0.046) were identified as risk factors of symptomatic hypocalcemia.[ncbi.nlm.nih.gov] Paralytic ileus (due to smooth muscle paralysis). Weakness, followed by flaccid muscle paralysis. Disappearance of deep tendon reflexes. Respiratory depression.[patient.info] Combined hypoglycemia, hypocalcemia and hypomagnesemia were found in 1(3.33%) case; combined hypoglycemia and hypocalcemia were found in 2(6.67%) cases; and combined hypocalcemia[ncbi.nlm.nih.gov]

  • Acute Kidney Failure

    Hypocalcemia is thought to occur because the impaired kidney no longer produces calcitriol and because hyperphosphatemia causes calcium phosphate precipitation in the tissues[merckmanuals.com] The hypocalcemia associated with AKI is usually asymptomatic and does not require specific treatment.[renalandurologynews.com] In rhabdomyolysis, calcium sequestration in injured muscle may result in more profound degrees of hypocalcemia.[renalandurologynews.com]

  • Alkalosis

    Signs of hypocalcemia may also develop. Patients with chronic respiratory alkalosis do not usually exhibit symptoms.[symptoma.com] ileus is anticipated, or in patients where hypokalaemia may be exacerbated by fluid losses during or after surgery because of vomiting or other causes.[academic.oup.com] […] contractility Arrhythmias Neurological consequences Neuromuscular overexcitability Decreased cerebral blood flow due to cerebral vasoconstriction Seizures Electrolyte changes Hypocalcemia[derangedphysiology.com]

  • Hypokalemia

    Autosomal dominant hypocalcemia type 1 (ADH1) is a relatively rare endocrine disorder characterized by hypocalcemia and inadequate parathyroid hormone secretion.[ncbi.nlm.nih.gov] ileus ) Cardiac arrhythmia , e.g. ventricular extrasystoles up to ventricular fibrillation ECG alterations: flattening of the T and U wave, merging T and U waves Rhabdomyolysis[flexikon.doccheck.com] Foscarnet Association : Presence of severe fungal infection /- hypocalcemia Pathophysiology : Chelates with cations, especially Ca and Mg which can cause seizures and cardiac[ebmconsult.com]

  • Paralytic Ileus

    Side effects such as pulmonary edema, respiratory depression, hypocalcemia, and hypermagnesemia have been reported in patients receiving this agent for either tocolysis or[ncbi.nlm.nih.gov] This report details the second and third adult patients reported with hypermagnesemia-induced paralytic ileus.[ncbi.nlm.nih.gov] Patients' mean postoperative potassium and magnesium values were not significantly associated with ileus while hypocalcemia was. [9] However, each patient's lowest postoperative[ijam-web.org]

  • Magnesium Deficiency

    Patients with the CHARGE association often have hypocalcemia.[ncbi.nlm.nih.gov] Paralytic ileus (due to smooth muscle paralysis). Weakness, followed by flaccid muscle paralysis. Disappearance of deep tendon reflexes. Respiratory depression.[patient.info] Magnesium deficiency states often coexists with hypokalemia and hypocalcemia presenting as lethargy, arrhythmias, seizures, tetany, and tremors.[symptoma.com]

  • Ileus

    Laboratory results revealed hypocalcemia and hyperphosphatemia. ECG findings showed normal sinus rhythm and prolonged QT interval.[ncbi.nlm.nih.gov] Paralytic ileus Clinical features • Paralytic ileus takes on a clinical significance if, 72 hours after laparotomy: • there has been no return of bowel sounds on auscultation[slideshare.net] In a separate regression analysis model, after adjusting for potential confounders such as ileus, reluctance to feed, hypokalemia, hypocalcemia, and blood transfusion, septic[ncbi.nlm.nih.gov]

  • Acarbose

    Metabolic: hypocalcemia, vitamin B deficiency. Effects on lab test results • May increase ALT and AST levels. May decrease calcium and vitamin B 6 levels.[glowm.com] The next day, he suffered from a paralytic ileus. Oral intake and acarbose were withheld and the ileus spontaneously resolved after 2 days.[ncbi.nlm.nih.gov] . • Assess GI signs and symptoms to differentiate drug effects from those caused by paralytic ileus. • Check 1-hour postprandial glucose level to gauge drug's efficacy. •[medical-dictionary.thefreedictionary.com]

  • Calcium Glubionate

    Hypocalcemia (dosed as calcium glubionate) Oral (Adults) —6–18 g/ day in divided doses.[medical-dictionary.thefreedictionary.com] ileus, and bradycardia Affected organisms Humans and other mammals Pathways Not Available Pharmacogenomic Effects/ADRs Not Available Drug Interactions All Drugs Approved[drugbank.ca] Usual Pediatric Dose for Hypocalcemia Neonatal : Oral: Adequate intake (AI): 200 mg/day of elemental calcium.[drugs.com]

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