HYPERCALCAEMIA

Level > 3.5 mmol/l is a medical emergency with problems of:

Commonest Causes

Treatment

Other treatment

 

DRUG ONSET EFFICACY ADRS COMMENTS
EDTA Rapid High Acute hypocalcaemia with tetany, seizures, cardiorespiratory arrest Combine with dialysis
IV fluids 8-12 hours Modest    
Frusemide 8-12 hrs Modest Hypokalaemia
Hypomagnesaemia
 
Biphosphonate hours High
(last weeks/months)
Fever
Leucopenia
Hypophosphataemia
 
Mithramycin 6-12 hrs Modest
(lasts several days)
Thrombocytopenia
Nephrotoxicity
 
Calcitonin 12 hrs Modest Tachyphylaxis  
Steroids days