PMID: 9189187Jun 1, 1997Paper

Calcium, magnesium, and phosphorus: emergency department testing yield

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
W D RoseE Gunel

Abstract

To investigate how often the ED ordering of stat serum calcium (Ca+2), magnesium (Mg+2), and phosphorus (PO4(-3)) levels affected clinical treatment; to define the diagnoses of patients for whom Ca+2, Mg+2, and PO4(-3) measurements did affect clinical therapy; and to suggest guidelines for more appropriate ordering of these laboratory tests. A retrospective chart review was performed in an academic teaching hospital. All adult ED patients who had Ca+2, Mg+2, or PO4(-3) laboratory testing during the 9-month study period were included and evaluated for potential clinical impact of an abnormal Ca+2, Mg+2, or PO4(-3) laboratory test. 1.477 patients had Ca+2, Mg+2, or PO4(-3) measured while in the ED during the study period. Of these, 260 patients (17.6%) had a total of 312 abnormal Ca+2, Mg+2, or PO4(-3) values as defined by results exceeding +/- 15% of normal reference values. Of these, only 5 patients (0.3%) received treatment for abnormal values in the ED, while 75 patients (5.1%) were treated once admitted to the hospital. In this study, the only diagnostic groups to whom significant treatment was administered were diabetic patients (Ca+2 and PO4(-3); alcoholic patients (Mg+2); and renal failure patients (Ca+2, Mg+2, and PO4(-3...Continue Reading

References

Aug 1, 1992·AACN Clinical Issues in Critical Care Nursing·M L Workman
Dec 15, 1983·The New England Journal of Medicine·H D Thorp
Apr 4, 1980·JAMA : the Journal of the American Medical Association·S Karas
Oct 1, 1994·Annals of Emergency Medicine·P L HennemanR J Lewis
Jan 1, 1995·The American Journal of Emergency Medicine·C L TungetA S Manoguerra
Dec 1, 1994·Annals of Emergency Medicine·P L HennemanR J Lewis

❮ Previous
Next ❯

Citations

Dec 14, 2002·The Journal of Emergency Medicine·Joseph R Shiber, Amal Mattu
May 21, 2005·Journal of the American Medical Informatics Association : JAMIA·S Trent RosenbloomRandolph A Miller
Jun 16, 2007·The American Journal of the Medical Sciences·Bruno MégarbaneFrederic J Baud
Apr 15, 2010·Arthritis Care & Research·A M HuberUNKNOWN Canadian Steroid-Associated Osteoporosis in the Pediatric Population (STOPP) Consortium
Apr 13, 2002·Neonatal Network : NN·S Steffensrud
Sep 7, 2019·PloS One·Marko PetekMirjana Herak Ćustić
Dec 18, 2019·Emergency Medicine Australasia : EMA·David McD TaylorMichael J Yeoh
Jun 4, 2019·Emergency Medicine Australasia : EMA·Patrick A DateDavid McD Taylor
Dec 26, 2019·Emergency Medicine Journal : EMJ·Maia DorsettJerome R Hoffman
Aug 28, 2014·The Journal of Trauma and Acute Care Surgery·Jay MenakerUNKNOWN Intra-abdominal Injury Study Group of the Pediatric Emergency Care Applied Research Network (PECARN)
Aug 12, 1999·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·T J PysherL H Shields

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.