Hypercalcemia - pamidronate

hypercalcemia 是血液中鈣含量太高了.
Calcium用途很廣, 其中一個是影響肌肉收縮放鬆

Hypercalceamia S/S:
Stones - renal/biliary
Bones - pain
Groans - abd pain, Nausea, Vomiting
Thrones (sit on thrones - polyuria)
psychiatric overtones

->peptic ulcer
->coma/cardiac arrest
所以血鈣高是medical emergency

from wiki

Treatment
Pamidronate IV
- Biphosphonates
- slow the release of calcium from bones

3-4 星期才可給一次, 慢慢INFUSE
因為其實要大約7天才有EFFECT

注意

- 教育病人要多飲水.
(*有腎/心問題要注意喔, 醫師應該會改變一下DOSAGE)
- 如有發現低鈣狀況要立刻報告 eg. muscle spasms/numbness/tingling/arrhythmia