Palliative Care

Question 1

Malignant hypercalcaemia levels?

Answer 1

2.6mmol/L

Question 2

Dexamethasone role in malignant spinal cord compression?

Answer 2

-reduces oedema
-reduces inflammation
-prevents neurological dysfunction
-better ambulatory outcomes

Question 3

Treatment for malignant hypercalcaemia?

Answer 3

-Fluid Replacement (1-2L NaCl 0.9% over 24hours)
-Bisphosphonates ( Zoledronate, Pamidronate
-reduce dose in renal impairement