Management of hypercalcemiaSevere(>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.
treatment of hyperkalemia■ [K+] <6.5 and normal ECG
◆ treat underlying cause, stop K+ intake, increase the loss of K+ via urine and/or GI tract
■ [K+] between 6.5 and 7.0, no ECG changes: add insulin to above regimen
■ [K+] >7.0 and/or ECG changes: first priority is to protect the heart, add ★calcium gluconate (counterbalances the membrane depressive effect of hyperkalemia) to above electrolytes卒試UWorld step2CK Oct 14, 2020, 5:01 AM HirotoShishido
