Approach to hypocalcemia Quiz: Ace Your Exams
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A 52-year-old woman undergoes a scheduled total thyroidectomy due to a multinodular goiter. Five hours after undergoing surgery, the patient develops perioral numbness and diffuse muscle cramps. Past medical history is otherwise unremarkable. Temperature is 37.2°C (99°F), blood pressure is 130/80 mmHg, pulse is 110/min, respiration rate is 18/min, and oxygen saturation is 97% on room air. Physical examination is significant for a positive Trousseau sign. Laboratory studies reveal a serum calcium level of 7.0 mg/dL and a serum magnesium level of 1.5 mg/dL. Which of the following should be administered next?
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