A patient suffers from numbness and tingling around the mouth and has a positive Trousseau's sign after a thyroidectomy. Which of the following medications will be administered?
A) Parenteral normal saline
B) Parenteral potassium chloride
C) Parenteral digoxin (Lanoxin)
D) Parenteral calcium gluconate
D
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The patient has acute hypocalcemia as evidenced by numbness and tingling around the mouth and a positive Trousseau's sign. An intravenous calcium salt, such as calcium gluconate, is given for acute symptomatic hypocalcemia. Parenteral normal saline may be administered, but it will not increase the calcium level. The administration of potassium chloride parenterally must be diluted and will not affect the calcium level. Parenteral digoxin (Lanoxin) will not be administered.
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