Causes of hypercalcemia
hyperparathyroidism hyperthyroidism Vit D intoxication Prolonged immobilization thiazide diuretics (RARELY)
S/S
fatiquability muscle weakness depression anorexia N/V constipation Severe can cause coma and death
Serum Ca > 12
Emergency!!!
Pharm Mgmt if impaired cardio or renal fcn
Calcitonin - pushes Ca back into bones
Possible dialysis