PICU, Inpatient and Outpatient Specialty Care Clinical Pathway for Peri-Operative Management of Hypocalcemia in Children with 22q11.2 Deletion/Duplication
Preoperative Care
Scheduled Elective Procedures
- Anesthesia APP Provider
- Endocrine Calcium Emergency Letter in Epic
- Review need for Stress Dose Calcium given evening prior to procedure
- Current Ca treatment
- Recent Ca level (within 3 mos)
- Notifies outpatient Endocrinologist of planned procedure
- Place blood drawing IV for repeating post-op Ca levels
- Pre-Procedural Endocrine and Genetics Evaluations
- Scheduling with Endocrine, urgent appointments, children without known history or hypocalcemia
- Endocrine
- Orders Ca, albumin if no results within 3 mos
- Documents peri-operative recommendations in Epic
Inpatient Procedures
- Hospital Provider Reviews:
- Endocrine Calcium Emergency Letter in Epic
- Review need for Stress Dose Calcium given evening prior to procedure
- Current Ca Treatment
- Recent Ca level (within 3 mos)
- Orders Ca, albumin if no results within 3 mos
- Consults Endocrine
Postoperative Hypocalcemia Treatment and Monitoring Recommendations Signs and Symptoms of Hypocalcemia |
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Monitoring | Treatment for Ca < 8.5 mg/dL | Escalation | |
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