hypercalcemia

Question 1

Causes of hypercalcemia

Answer 1

-hyperparathyroidism: too much PTH
(if serum calcium gets low PTH kicks in & pulls Ca from the bone &puts it in the blood so serum Ca increases)
-Thiazides( retain calcium)
-Immobilization

Question 2

s/s

Answer 2

• bones are brittle

- kidney stones (majority made of calcium)

Question 3

Treatment of hypercalcemia

Answer 3

• move
• fluids to prevent kidney stones
• phospo soda & fleet enema both hav phosphorous
• Calcium has inverse relationship w/phosporous (when u drive up phos, calcium goes down)
• steroids:decrease calcium
• Add phosporous/protein rich items to diet
• Safety precautions: PT IS SEDATED W/ HYPERCALCEMIA
• must hav vitamin D to use Ca 1000 units per day
• Calcitonin to decrease serum Ca drive calcium back into the bone