Treatment of Tetany
It
is desirable to substitute formula feeding for breastfeeding.
If it is impossible one has to limit the quantity of cow’s milk
and increase the quantity of vegetables.
Infants
with latent tetany may respond to oral calcium gluconate
(5%) or calcium chloride (1-2%) - 1 teaspoonful x 3 times
a day.
Infants
with clinical manifestations of tetany require i.v. calcium
gluconate (10%) 2 ml/kg given slowly while monitoring ECG
(bradycardia, arrhythmia).
In
convulsions it is necessary to inject i.v. seduxen (0,1 ml/ kg
of 0,5% solution), MgSO4
(0,5 ml/kg of 25% solution), sodium oxybutyrate
(0,5 ml/kg of 20% solution), oxygen inhalations.
3-4
days after convulsions it is necessary to prescribe vit D3
2000-4000
IU twice a day.
If
laryngospasm is diagnosed it is necessary to try to create
a dominant focus of stimulation in the brain by irritation of nasal
mucosa, skin, or vestibular analyzer.
