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hypercalcemia

oncology notes

QuestionAnswer
Which cancers tumors like to secrete parathyroid hormone, causing the bone to release calcium? Lung, head and neck, kidney, lymph nodes
what is considered hypercalcemia lab values? Total calcium >10.5; Ionized calcium >5.1
Early manifestations of hypercalcemia include? (6) Fatigue, loss of appetite, nausea, vomiting, constipation, and polyuria
Serious manifestations of hypercalcemia include? (5) severe muscle weakness, loss of deep tendon reflexes, PARALYTIC ILEUS, dehydration, ECG changes
What is important in someone with hypercalcemia? ORAL HYDRATION
What kind of fluid is used if parenteral hydration is needed? Normal Saline
What are 5 drugs that can lower serum calcium levels? 1. Mithramycin 2. calcitonin 3. bisphosphonates 4. Aredia 5. Zometa
Can glucocorticoids lower calcium levels? Yes
What is another method of lower calcium level besides drugs? dialysis
Would a person need to be on telemetry for hypercalcemia? Yes!
How would you know if the oral medications were effective on the calcium levels? There would be a decrease of the signs and symptoms
Created by: motlow
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