Hypercalcaemia

• What level of calcium is hypercalcaemia?

  >2.6mmol/L
• What level is classed as severe hypercalcaemia?

  >3.5mmol/L
• Symptoms of hypercalcaemia are classically remembered as ‘bones (pain), stones (renal), abdominal groans (pancreatitis, constipation) and psychic groans (confusion, hallucination).
• What ECG findings would you see in hypercalcaemia?

  Shortened QT interval

  Complete AV node block

  Cardiac arrest
• How would you treat mild/moderate hypercalcaemia?

  IV fluids
• How would you treat severe hypercalcaemia?

  IV fluids - saline

  IV bisphosphonate therapy
• What blood test should you send in a patietn with hypercalcaemia?

  PTH
• Which drugs should you look out for on drug chart in a patient with hypercalcaemia?

  Vitamin D supplements

  Calcium supplements

  Thiazide diuretics