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Pediatrics Miscellaneous 6c963eeb

The immediate treatment of 10 kg weight infants presented with tetany:

A
IV Diazepam
B
IV calcium gluconate with cardiac monitoring
C
IV slow phenobarbitone
D
Wait and watch
High-Yield Explanation
(IV, Calcium gluconate with cardiac monitoring) (178-G) (486-87-Ghai 7th)Hypocalcemia* S. calcium less than 7 mg/dL* S. phosphate level may be elevated* ECG - QTc interval is prolonged* X-ray -congenital absence of thymus* Calcium gluconate 2 ml/kg of 10% solution is advised IV slowly to control the seizure, ECG monitoring is necessary during calcium infusion.* Feeds should be low in phosphate, cow milk feeds should be replaced with breast feeding.

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