Hypercalcaemia Flashcards

1
Q

what is mild hypercalcaemia?

A

2.65 - 3.00 mmol/L

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2
Q

what is moderate hypercalcaemia?

A

3.01 - 3.40 mmol/L

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3
Q

what is severe hypercalcaemia?

A

> 3.40 mmol/L

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4
Q

what are the causes of hypercalcaemia?

A
  • primary hyperparathyroidism
  • cancer
  • sarcoidosis
  • thyrotoxicosis
  • thiazide diuretics
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5
Q

what is the typical presentation of hypercalcaemia?

A

‘bones, stones, abdominal groans and psychic moans’

  • abdominal pain
  • nausea and vomiting
  • constipation
  • polyuria
  • polydipsia
  • depression
  • confusion
  • renal stones
  • renal failure
  • acute pancreatitis
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6
Q

what effects does hypercalcaemia have on the heart?

A
  • arrhythmias
  • short QT interval
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7
Q

how is hypercalcaemia acutely treated?

A
  • IV 0.9% saline
  • single dose of IV zolendronic acid
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