we’re entering my last week of doing this (I know, shed your tears now, get them out of your system) and I figure we should talk about some electrolytes gosh darnit
But which one? Theres oh so many?
Hey what’s with the groans from the audience? Is it my fonts (comic sans italic)? Is it my colors (i know you like that fuschia)? Is it my COMPLETELY REASONABLE TIMING when it comes to sending emails?
hey! Stop that, theres no need to throw stones at me!
Wait a second,
you’ve inspired me!!
HYPERCALCEMIA!!!!!
I’m talking stones (renal calculi)
I’m talking bones (bone pain)
I’m talking groans (and pain, dehydration, pancreatitis)
I’m talking thrones (polyuria and constipation)
And not but not least
I’m talking psychiatric overtones (lethargy, confusion, hallucinations)
And you better 'member to check the EKG for all the findings
Prolonged PR/QRS
Widened T’s
Brady’s and heart blocks
Even ST changes
What are we gonna do about it?
<12 —> home
doesn’t need immediate treatment but you best believe you’re gonna give that baby some follow up
12-14 —> the grey zone
if they’re symptomatic better start treating it
but, but, but how?
throw some normal saline at that chump. bolus or until urinary output is 100-150ml per hr
want some more?
calcitonin works w/ in 2-4 hrs (woah) think 4 units/kg SC or IV
theres some data to show that zoledronic acid works well with calcitonin in dropping the calcium too
>14 —> admission, look at that EKG first. These pups are at risk for severe dysrhythmias and cardiac collapse
Keep in mind if things are looking rough enough you can pull the trigger on dialysis
think patients w/ renal failure
patients that have calcium over 18
patients w/ neuro sx
and of course those that fail other therapy
Well anyways thats all from me
Besitos
#justiceforhan #Fast9