Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services if your baby:
Has a possible seizure
Stops breathing, struggles to breathe, or turns blue or grey
Becomes limp, unresponsive, or unusually difficult to wake
Develops severe or repeated muscle spasms
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek urgent same-day medical advice if your baby has new or worsening jitteriness, repeated twitching, poor feeding, repeated vomiting, unusual sleepiness, or marked irritability.
These symptoms have several possible causes and need assessment rather than home treatment.
If your baby is already being monitored for low calcium, contact their medical team promptly if symptoms return, medicine is repeatedly vomited, or you cannot give the prescribed treatment.
3
Does any of this apply?
Book an appointment
Routine follow-up is used to check calcium and related mineral levels, review feeding and growth, and decide when treatment can safely be reduced.
Keep these appointments even when your baby looks well.
Every sign above is quoted from the sofidex article on Low calcium level - infants. If you are not sure, err upward — it is always reasonable to be checked.