Hypercalcemia

Question 1

Normal value

Answer 1

8.6-10

Question 2

role

Answer 2

bone and teeth health
muscle and nerve function
cell function and blood clotting
absorbed in GI
stored in bones and excreted by the kidneys

Question 3

What does Vit do ?

Answer 3

helps in the absorption of Calcium

Question 4

Relationship between phosphorus and calcium

Answer 4

opposited inverse

Question 5

causes hypercalcemia

Answer 5

HIGH CAL
hyperparathyroidism
high parathyroid hormone causes too much Ca to be released in the blood
Increased intake of Calcium ( supplements, vit d and Ca)
Gluccorticoids ( suppress Ca absorbtion)
Hyperthyroidsm
Calcium excretion decreased with thiazide diuretics, renal failure and bone cancer
Addrenal insuficiency ( Addisons)
Lithium usage ( affects parathyroid) cause phos to decrease and Ca to increase

Question 6

S/S

Answer 6

Weak
weakness of muscles very profound
EKG changes ( shortended QT interval) prolongued ST interval
Abset reflexes, abdominal distention from constipation
Kidney stone formation

Question 7

Nursing interventions

Answer 7

keep patient hydrated ( decrease stone formation)
safety (falls and injuries)
monitor cardiac GI renal and neuro status
complain flank or abdominal pain and strain urine
decreased Ca rich foods and intake of Thiazides Ca supplement decrease Vit D
-yogurt
-sardines
-cheese
-spinach
-collard greens
-tofu
-rhubarb
-milk
Mod: admin calcium reabsorbtion inhibitors: calcitoni, biphosphates, prostaglandin, ASA NSAIDS
Severe: dialysis