Patient after thyroid surgery presents with perioral paresthesia. Serum calcium levels is 7 mg/dL. What will be the best management?
Ans. (d) Oral calciumRef: Bailey and Love 26th edition Page 762* The hypocalcemia management is mainly decided based on Mild or severe symptoms. This is a mild case hence Oral calcium is enough* The serum calcium value is variable from 8-12mg/dl. If preop value of a patient is only 8mg/dl the value of 7 will only cause mild symptoms. If the same patient if preop value is 12mg/dl this value of 7 would have caused Tetany and stridulus
Oral vitamin D3
Oral vitamin D3 with calcium
IV calcium gluconate
Oral calcium
Thyroid Gland