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Topics:
General Internal Medicine • Nephrology • Critical Care • Endocrinology • Electrolyte disorders • Bone and Calcium Disorders • Hospital Medicine • General Hospital Medicine
What is your approach to treating hypercalcemia secondary to immobilization?
Do you set specific goals related to mobility, volume management, and vitamin D levels? When do you consider medications such as bisphosphonates, calcitonin, denosumab, loop diuretics, etc.?
Answer from: at Academic Institution
My first approach is to have the patient become mobile if at all possible, even just increasing mobility in bed by doing leg and arm exercises, which can help, and getting up and walking is preferable if at all possible. Physical therapy is also helpful.
I would make sure that the patient is well h...
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