Treatments for Barakat syndrome
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Hypoparathyroidism:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Because calcium absorption from the small intestine requires the presence of vitamin D, treatment includes vitamin D and calcium supplements. Therapy is usually lifelong, except for the reversible form of the disease. If the patient can’t tolerate the pure form of vitamin D, alternatives include dihydrotachysterol, if hepatic and renal function is adequate, and calcitriol, if it’s severely compromised. In patients with preexisting hypomagnesemia, this condition must be corrected to treat the resulting hypocalcemia. A high-calcium, low-phosphorous diet is recommended.
Acute life-threatening tetany requires immediate I.V. administration of calcium to raise serum calcium levels. The patient who’s awake and able to cooperate can help raise serum calcium levels by breathing into a paper bag and then inhaling his own carbon dioxide; this produces hypoventilation and mild respiratory acidosis. Sedatives and anticonvulsants may control spasms until calcium levels rise. Chronic tetany requires maintenance therapy with oral calcium and vitamin D supplements.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
Hypoparathyroidism:
Treatment
(Handbook of Diseases)
Because calcium absorption from the small intestine requires the presence of vitamin D, treatment includes vitamin D and calcium supplements. Such therapy is usually lifelong, except for the reversible form of the disease.
If the patient can’t tolerate vitamin D because of hepatic or renal problems, calcitriol may be used.
Acute, life-threatening tetany requires immediate I.V. administration of 10% calcium gluconate to raise serum calcium levels. The patient who’s awake and able to cooperate can help raise serum calcium levels by breathing into a paper bag and then inhaling his own carbon dioxide; this produces hypoventilation and mild respiratory acidosis.
Sedatives and anticonvulsants may control spasms until calcium levels rise. Chronic tetany requires maintenance therapy with oral calcium and vitamin D supplements.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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