How to treat vitamin D deficiency tetany

Vitamin D deficiency tetany is a relatively common disease. Therefore, it is necessary for us to understand the relevant treatment methods of vitamin D deficiency tetany. So how to treat vitamin D deficiency tetany? What are the treatments for vitamin D deficiency tetany? Next, this article will give you a detailed introduction.

Vitamin D deficiency tetany is also known as rickets, hypocalcemic seizures or infantile tetany. Due to vitamin D deficiency and insufficient compensatory function of the parathyroid gland, serum calcium ions are reduced, neuromuscular excitability is increased, and convulsions, hand and foot muscle cramps or laryngeal spasms occur. It is more common in children under 2 years old.

How is vitamin D deficiency tetany treated? The treatment principle of this disease is to first control convulsions, relieve laryngeal spasm, quickly supplement calcium to quickly raise blood calcium to normal, and then give vitamin D to restore blood calcium and phosphorus metabolism to normal.

1. First aid treatment

Sedatives and antispasmodics can be used to control convulsions. The first choice is diazepam, 0.1-0.3 mg/kg each time, intramuscularly or intravenously, or phenobarbital, 5-7 mg/kg each time, intramuscularly, or 10% chloral hydrate, 40-50 mg/kg each time, retention enema. In case of laryngeal spasm, the tongue should be pulled out of the mouth first, artificial respiration or pressurized oxygen should be performed, and endotracheal intubation should be performed if necessary.

Calcium therapy

For patients with convulsions or laryngeal spasm, 5-10 ml (or 1 ml/kg) of 10% calcium gluconate plus 10-20 ml of 10% glucose solution can be given by intravenous drip, or slowly injected intravenously (over 10 minutes). For severe cases, this can be repeated 2-3 times a day until the convulsions stop and oral calcium preparations can be taken. For mild cases, or after convulsions and laryngeal spasm are controlled, take 10% calcium chloride orally first, 5 to 10 ml each time, diluted in 3 to 5 times sugar water. 3 times a day. Calcium chloride has the effect of acidifying the blood, causing the calcium ion concentration to increase rapidly, but it should not be taken for a long time to prevent hyperchloremia. Therefore, after 3 to 5 days, it should be changed to active calcium, such as Gaitanli or calcium gluconate for oral administration.

3. Vitamin D treatment

After taking calcium supplements, vitamin D should be given at the same time, 50ug~125ug (2000~5000IU) orally per day. For severe cases, vitamin D or vitamin D3 can be injected intramuscularly. The usage is the same as rickets. After one month, change to a preventive dose.

The above is an introduction to how to treat vitamin D deficiency tetany. I believe that after reading the above introduction, you already know how to treat vitamin D deficiency tetany. From the above introduction, we can know that infants and young children are at high risk of vitamin D deficiency tetany, which is mainly caused by vitamin D deficiency. Therefore, the key to treating this disease is to supplement vitamin D.