Hypocalcemia in Neonates

Ira Shah
Hypocalcemia in Neonates - Diagnosis
Hypocalcemia may present as "early onset hypocalcemia" ( during the 1st 3 days ) - usually in stressed and preterm infants. It is usually mild or asymptomatic. Hypocalcemia can also occur at the end of the 1st week called "late onset hypocalcemia", seen usually in hypoparathyroidism. It usually presents with seizures, tetany, irritability, tremors, jitteriness and lethargy.

Hence, it is often necessary to screen high risk infants. Preterm infants and stressed infants are usually monitored for calcium levels at 12, 24 and 48 hours of life and when indicated. Serum magnesium levels should also be done as hypocalcemia can result in intractable hypocalcemia.

Hypocalcemia in Neonates Hypocalcemia in Neonates 01/08/2003
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