HYPERCALCEMIA
Total
Ca2+ > 11mg/dL
Etiology
·
Metastatic
Malignancy- Lung, ovary, prostate, bladder, bone
·
Multiple
myeloma
·
Hyperparathyroidism
·
Excessive
intake of Calcium
·
Prolonged
Immobilization - Bone resorption
·
Hypophosphatemia
·
Vitamin
D overdose
·
Acidosis
Clinical Features
·
General:
Malaise, weakness, dehydration, polydipsia
·
Neurologic:
Confusion, apathy, decreased memory, irritability, Hallucinations, headache,
ataxia, Hyporeflexia, hypotonic
·
Cardiovascular:
HTN, dysrhythmias
·
EKG
abnormalities: Short QT & ST, Wide T-wave
·
Gastrointestinal:
Anorexia, nausea, vomiting, Constipation, abdominal pain
·
Skeletal:
Fractures, bone pain, deformities
·
Polyuria,
polydipsia, renal insufficiency, Nephrolithiasis
Management:
·
Treat
dehydration: IV NS until ECF volume restored
·
Lasix
40 to 100 mg IV q 2-4 hours
·
Decrease
bone absorption administer Calcitonin, Hydrocortisone, Indomethacin
Monitor for
hypokalemia, hypomagnesemiaFind The Other Common Signs And Symptoms Notes Here
Find The Other Common Signs And Symptoms Notes Here
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