Hypercalcemia

Question 1

S/S for hypercalcemia

Answer 1

• increase BP, bounding pulse, decrease HR
• dimnished/absent tendon reflexes
• renal caluli (flank pain)
• Polyuria/Polydipsia
• neurosis ( bad case of anxiety)

Question 2

What causes Hypercalcemia?

Answer 2

• hyperparathyroidism/ hyperthyroidism
• use of glucocorticoids
• dehydration
• use of lithium
• Addison’s

Question 3

ECG

Answer 3

• short ST
• wide T-wave

Question 4

NI for hypercalcemia

Answer 4

• meds inhibit Ca+ reabsoprtion–>phophorus, Calcitonin, biphophonate, prostaglandin synthesis inhibitors (aspirin/NSAID)
• discontinue IV w/ Vit D/ Ca+, thiazide diurectics
• move client carefully for pathological fracture d/t bone reabsoprtion
• avoid Ca+ base antacids (Tums, rolaid, Maalox, Mylanta)