The Internet Book of Critical Care Podcast
IBCC Episode 41 - Hypercalcemia
Jun 20, 2019
This podcast covers all things hypercalcemia, including symptoms and causes. It explores measuring calcium levels, differentiating between causes, and recommended labs and tests. Treatment options and management strategies are also discussed, including pH guided resuscitation, specific fluids, and treatment options like calcitonin and bisphosphonates. Refractory hypercalcemia is touched upon as well.
14:49
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Quick takeaways
- Hypercalcemia can present with a wide range of symptoms, including psychiatric manifestations, abdominal pain, constipation, and muscle weakness.
- The treatment for hypercalcemia involves addressing the underlying cause and considering aggressive therapeutic interventions such as volume resuscitation and targeted medications like calcitonin and bisphosphonates.
Deep dives
Recognizing Hypercalcemia
Hypercalcemia can present with a variety of symptoms, including psychiatric manifestations, abdominal pain, constipation, and muscle weakness. In the ICU, patients may come to attention due to delirium and coma. EKG findings may show QT interval reduction, bundle branch block, AV block, and bradycardia.
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