hypercalcemia and malignancy in UW!!

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hypercalcemia and malignancy in UW!!

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4 Posts

nadiabarati

02/18/07 - 04:34 AM

it says when hypercalcemia is because of malignancy we choose bisphosphonates over normal saline!
but in another question it choose normal saile over bisphosphonated at the presence of malignancy! So what do you think?

Dr.Luck
Forum Senior

Topics: 12
Posts: 225

02/18/07 - 07:57 AM

In mild hypercalcemia we give Bisphosphonates like pamdronate

In severe hypercalcemia with CNS symptoms like encephelopathy we start wih normal saline & then furosemide.

dr.wad
Forum Senior
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Topics: 3
Posts: 350

02/18/07 - 04:06 PM

it depends on blood volium and calcium level.
in sever hypercalcemia , the patient is dehydrated and hypovolemic due to vomiting and polyuria, so u have to give the patient normal saline to correct this hypovolemia.

in mild hypocalcemia with no hypovolemia give pamidronate .

nadiabarati

02/18/07 - 04:53 PM

thanks guys. But what level is considered mild or moderate or severe? any range?

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