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Quick Scroll G Sur 02.03.07 (1 year ago) #1
Post operatively a pt on IV dextrose and saline develops tetany. His blood pH is 7.48 and PaCO2 is 24.What is the cause :
a) Postoperative hypoparathyroidism
b) Calcitonin deficiency
c) Metabolic alkalosis due to dextrose and saline infusion
d) respiratory alkalosis
e) Thyroid crisis
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Quick Scroll 02.03.07 (1 year ago) #2
D - Respiratory alkalosis
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Quick Scroll 02.03.07 (1 year ago) #3
Metabolic alkalosis with hyperventilation
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Quick Scroll 02.03.07 (1 year ago) #4
d) respiratory alkalosis

Alkalosis, by promoting the binding of calcium to albumin, can reduce the fraction of ionized calcium in blood, causing tetany.
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Quick Scroll 02.04.07 (1 year ago) #5
Respiratory alkalosis
In hyperventilation,there can be perioral tingling which can be first sign of hypocalcemia
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