PCC 4 88 Final Exam Questions With Complete Solutions

Hypercalcemia OE causes - ️️tumor breaks down or releases PTH; caused by bone cancers or cancers that metastasize to the bone Hypercalcemia OE Diagnosis - ️️10.5 15=emergency! CM of Hypercalcemia OE - ️️Stones - polyuria, nocturia, dehydration, thirst, stones, AKI, failure Bones - joint pain and muscle aches, weakness, fatigue, fractures Moans - lethargy, confusion, hallucinations, seizure, coma, death Groans - GI, anorexia, N/V, constipation, CV - HTN, dysrhythmias, heart block, vtach Treatment of Hypercalcemia OE - ️️1. Fluids to maintain 100-150 ml/hr UOP 2. Admin calcitonin and biphosphonates at the same time 3. Hemodialysis if emergent 4. Atropine, dopamine, epi for bradycardia; anti arrhythmic or synchronized cardio version for vtach w/ pulse 5. Electrolyte replacement 6. Laxatives, stool softeners Applying Restraints - ️️-5 person team -apply one at a time -HOB elevated to 30 degrees