A 67-year-old male is admitted to the trauma ICU for management of anaphylaxis. He is intubated for airway swelling. 3 hours from the onset of symptoms the patient is hemodynamically stable without a pressor requirement. Routine labs ordered show the following:
Which of the following electrolytes require repletion?
A. Potassium, magnesium, and IV calciumCorrect Answer: C
IV calcium replacement is recommended only when severe effects of hypocalcemia-like neurological symptoms (tetany and seizures), hypotension, prolonged QT interval, or in asymptomatic patients with an acute decrease in serum corrected calcium to ≤7.5 mg/dL. This patient does not meet criteria for treatment.
Reference: