Inpatient and Outpatient Specialty Care Clinical Pathway for Peri-operative Management of Hypocalcemia in Children with 22q11.2 Deletion/Duplication
Pre-Operative Care
Scheduled Elective Procedures
- Anesthesia APP 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 months)
- Notifies outpatient Endocrinologist of planned procedure
- Place blood drawing IV for repeating post-op Ca levels
- Endocrine
- Orders Ca, albumin if no results within 3 months
- Documents peri-operative recommendations in EPIC
- Pre-Procedural Endocrine and Genetics Evaluations/
- Scheduling with Endocrine, Urgent appointments,
- Patients without known history of hypocalcemia
Inpatient Procedures
- FLOC 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 months)
- Orders Ca, albumin if no results within 3 months
- Consults Endocrine
Monitoring | Treatment for Ca < 8.5 mg/dL | Escalation | |
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Posted: May 2021
Authors: E. Mancilla, MD; L. Katz, MD; V. Bamba, MD; M. Vajravelu, MD; A. Weintraub, MD; D. McDonald-McGinn, MS, CGC; T. Dea, CRNP; J. Zook, PharmD; T. Crowley.
Authors: E. Mancilla, MD; L. Katz, MD; V. Bamba, MD; M. Vajravelu, MD; A. Weintraub, MD; D. McDonald-McGinn, MS, CGC; T. Dea, CRNP; J. Zook, PharmD; T. Crowley.