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A second dose of 5000 was given the second day and third day

The patient was near death by the time the diagnosis was made, with a resting heart rate of 165 bpm, almost complete tetany of the neck, pecs and pec minors. A second dose of 5000 was given the second day and third day, and after 72 hours the tetany had ceased and the heart rate returned to normal. Calcium levels were normal throughout.

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