Hypocalcaemia

THESE GUIDELINES ARE FOR USE WITHIN THE MAIDSTONE & TUNBRIDGE WELLS NHS TRUST ONLY

 Treatment of acute hypocalcaemia in adults

 Quick guide: Treatment of acute hypocalcaemia in adults

Hypocalcaemia post thyroidectomy- the regime below has been observed as common practice post total thyroidectomy in patients at TWH:

• If Calcium <2.2 mmol/L, give Adcal 2 tablets QDS
• If Calcium <2.1 mmol/L, give Adcal D3 2 tablets QDS
• If Calcium <2.0 mmol/L, give Alfacalcidol 0.5-2 micrograms
• Check bloods every 2-3 days i.e. day 0, 1, 2, 3 and 5
• If Calcium <1.8 mmol/L, high risk of tetany, patient will require admission for slow IV Calcium gluconate
• If Calcium >2.2 mmol/L, reduce to Adcal 2 tablets BD and continue monitoring.

*Ensure that it is the adjusted Calcium level checked.