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  • Neonatal Hypocalcemia

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    Clinton
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    Some infants fed formula from birth can develop neonatal hypocalcemia because cow milk contains much higher phosphate levels than human milk. The increased phosphate absorption can lower serum calcium levels, potentially causing symptoms like irritability, tetany, or seizures in the first 4-10 days of life. Treatment involves slow administration of calcium gluconate if serum calcium is below 1.75mmol/litre and phosphate above 2.6mmol/litre, and may also require magnesium supplementation. Severe infantile hypercalcemia can cause abnormal facial features, mental retardation, and cardiac issues like stenosis of pulmonary arteries or aorta.

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    Hypocalcemia

    Titolo originale

    NEONATAL HYPOCALCEMIA

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    Some infants fed formula from birth can develop neonatal hypocalcemia because cow milk contains much higher phosphate levels than human milk. The increased phosphate absorption can lower serum calcium levels, potentially causing symptoms like irritability, tetany, or seizures in the first 4-10 days of life. Treatment involves slow administration of calcium gluconate if serum calcium is below 1.75mmol/litre and phosphate above 2.6mmol/litre, and may also require magnesium supplementation. Severe infantile hypercalcemia can cause abnormal facial features, mental retardation, and cardiac issues like stenosis of pulmonary arteries or aorta.

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    17 visualizzazioni4 pagine

    Neonatal Hypocalcemia

    Caricato da

    Clinton
    Some infants fed formula from birth can develop neonatal hypocalcemia because cow milk contains much higher phosphate levels than human milk. The increased phosphate absorption can lower serum calcium levels, potentially causing symptoms like irritability, tetany, or seizures in the first 4-10 days of life. Treatment involves slow administration of calcium gluconate if serum calcium is below 1.75mmol/litre and phosphate above 2.6mmol/litre, and may also require magnesium supplementation. Severe infantile hypercalcemia can cause abnormal facial features, mental retardation, and cardiac issues like stenosis of pulmonary arteries or aorta.

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    © All Rights Reserved
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    di 4

    NEONATAL

    HYPOCALCEMIA
    1. Some mothers give infants formula from birth
    2. Cow milk contains a high level of phosphate 90mg/100ml (than
    human milk (20mg/100ml)
    3. Increased absorption of phosphate may occur> increased plasma
    levels of phosphate and consequent depression of serum calcium
    4. Hypocalcemia may be symptomless or result in tetany
    5. Symptoms begin about the 4 – 10/7 of life
    • Anorexia
    • Irritability
    • Tetany
    • Frank convulsions
    6. Serum calcium < 1.75mmol/litre and plasma inorganic phosphate >
    2.6mmol/litre
    7. Treatment 1ml of 10 % calcium gluconate slowly
    8. Hypomagnesemia may occur and require treatment
    INFANTILE HYPERCALCEMIA
    a. Severe infantile hypercalcemia
    b. Abnormal facies ; mental retardation
    c. Cardiac abnormalities
    i. Stenosis of the pulmonary arteries
    ii. Stenosis of the ascending aorta
    iii. Coarctation of the aorta

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