Severity depends on serum calcium level and rate of increase
0.1–1% of patients on routine screening
Most cases mild (<12 mg/dL) and asymptomatic
Hypercalcemic crisis, usually >14...
Complaints related to oliguric renal failu...
ABCs, IV access, oxygen, cardiac monitor
0.9% NS 1 L bolus (20 mL/kg) for hypotension or severe dehydration
Corrected total calcium level >13 mg/dL
Signs or symptoms attributed to hypercalcemia, especially EKG changes
Monitored bed or ICU for corrected level >14 or...
Make decisions based on symptoms or corrected Ca levels
All patients with serum Ca >14 mg/dL require treatment regardless of symptoms
Pay careful attention to EKG changes
Ariyan CE, Sosa JA. Assessment and management of patients with abnormal calcium. Crit Care Med. 2004;32(suppl 4):S146–S154.
Inzucchi SE. Management of hypercalcemia. Diagnos...
275.49 Other disorders of calcium metabolism
588.89 Other specified disorders resulting from impaired renal function
592.0 Calculus of kidney
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