Severe(>14) case requires treatment
■Increase Urinary Ca2+ Excretion
★Isotonic saline (4-5 L) over 24 h ± loop diuretic (e.g. furosemide) but only if hypervolemic (urine output >200mL/h)
Calcitonin (remember to ask about fish allergies)
■Diminish Bone Resorption
☆Bisphosphonates(long term)
■Decrease GI Ca2+ Absorption
Corticosteroids can be used in hypercalcemia mediated by 1,25 Vitamin D.
■Dialysis
Treatment of last resort
Indication: severe malignancy-associated hypercalcemia
electrolytes
UWorld step2CK
国試過去3年
Optimized studying based on the forgetting curve vastly improves memorization. - What is reminDO?
Memorize 1