Hypercalcemia

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Hypercalcemia:
Risk Factors:
  • Hyperparathyroidism
  • Malignant disease
  • Prolonged immobilization
  • Vitamin D excess
  • Thiazide diuretics
  • Lithium
Manifestations:
  • Ca++ > 10 mg/dL
  • Muscle weakness
  • Decreased DTRs
  • Hypercalciuria/renal stones
  • Dysrhythmias
  • Confusion
  • Anxiety
  • Lethargy/coma
Interventions:
  • Increase mobility
  • Isotonic IVF
  • Furosemide
  • Calcitonin
  • Glucocorticoids
  • Biophosphonates
  • NOTE: increased risk of fractures