Acute Hyperplasia Flashcards
1
Q
If Ca >?mmol/L and ? symptoms
A
3.5
severe
2
Q
4 things to do
A
IV fluids, Bisphosphonates, Calcitonin, Dialysis
3
Q
IV fluids.
o ? ? to increase calcium clearance.
o Aim for ?-?L over the first 24 hours.
o ? no longer routinely used, but may be considered if there is a risk of ?.
A
normal saline
3-6
diuretics
overload
4
Q
Bisphosphonates.
o ? dose of ?.
o Lowers calcium over 2-3 ?.
A
single
pamidronate
days
5
Q
Calcitonin.
o May be used to ? reduce levels in ? hypercalcaemia, however effects are short lived.
A
rapidly
life-threatening
6
Q
Dialysis.
o May be required if there is ? impairment.
A
renal
7
Q
Further management is related to investigating and treating the ? of the
hypercalcaemia.
Steroids can be useful in hypercalcaemia due to ?, ? or ?.
A
cause
myeloma
lymphoma
Sarcoidosis
