doyoudig
Forum Guru
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I know that the Initial Managemnet is Hydration (Is it Isotonic Saline?)
Loop n Bisphopshonates
What I like to know, is the Initial Mx vary depending on the serum ca levels or Etiology of the Hypercalemia and how??
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| doc_clotaire
Forum Guru
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It depends on the etiology and clinical presentation !
It the patients has an hypercalcemic crisis ( anorexia , abdominal pain ect........)
NSIM ---------------------IV fluids and Furosemide
If the patient 's hypercalcemia is secondary to SARCOIDOIS
NSIM ---------------------Corticosteroids
If it is secondary to Metastatic disease like breast cancer , multiple myeoloma ect............
NSIM -------------------- Biphosphonate
It if it secondary to Primary Hyperparathyroidism and serum calcium is more than 12 , patient is SYMPTOMATIC
Def NSIM --------------- Surgery
More input is WELCOME !
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The elevator to succes is broke ,you must take the stairs
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| doyoudig
Forum Guru
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U rock doclaire!! that's excalty what I was looking for n you cleared my doubts.
2 more questions
1. What are Ca levels in Hypercacemic Crisis
2.Is there anytime we just use IV Hydration before loops (i.e Normal Saline only)?
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| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,247
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1.- usually above 15 mg/dl
2.- A loop diuretic (eg, furosemide) may be used with hydration to increase calcium excretion. This may also prevent volume overload especially in patients with cronic condition like CHF , Cirrhosis, Cronic Renal Failure ,
However if there is no risk of FLUID OVERLOAD you can only use NORMAL SALINE
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The elevator to succes is broke ,you must take the stairs
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