NEW
Font size
WorksheetsISBP 2a2 E1 fall 2022 Hypercalcemia
Total questions: 9
Worksheet time: 5mins
Hypercalcemia
Serum Calcium > 10.5 and < 13 mg/dL
is?
Mild-to-moderate
Severe
Hypercalcemic crisis
Hypercalcemia
Serum Calcium > 13 mg/dL
is?
Mild-to-moderate
Severe
Hypercalcemic crisis
Hypercalcemia
Serum Calcium > 15 mg/dL
is?
Mild-to-moderate
Severe
Hypercalcemic crisis
hyperparathyroidism can cause?
Hypocalcemia
Hypercalcemia
Hypercalcemia
Goals of therapy
prevent arrhythmias
prevent bone loss
Hypercalcemia treatment
IV isotonic fluids – immediate onset
NS bolus 1-2 L followed by 250-300 mL/h
1st line (symptomatic management)
asymptomatic management
used in hypercalcemia of malignancy (tendancy of medication to get worse)
Hypercalcemia treatment
Loop diuretics – immediate onset
Furosemide 40-80 mg IV q1-4 h
1st line (symptomatic management)
asymptomatic management
used in hypercalcemia of malignancy (tendancy of medication to get worse)
Hypercalcemia treatment
Calcitonin
IM/subcutaneous salmon calcitonin = 4 units/kg every 12h
1st line (symptomatic management)
asymptomatic management
used in hypercalcemia of malignancy (tendancy of medication to get worse)
Hypercalcemia treatment
Bisphosphonates
1st line (symptomatic management)
asymptomatic management
used in hypercalcemia of malignancy (tendancy of medication to get worse)
