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Patient with hypocalcemia

Mr X is complaining of numbness in her right hand since last week.

She is a dialysis patient.

• Serum calcium is 7.4 mg/dl.
• Ionized calcium is 0.81 and 0.89 mmol/l respectively.
• On CaCo3 625 mg 2 + 2 + 1.

The patient verbalized that she is compliant with CaCo3.

On Normal dialysate.

Here when the patient has to take Caco3 to normalize calcium level, either with meal or after meal:

• If with meal, why?
• If before or after meal, why?

Thanks

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