Calcium, Magnesium, Phosphorus

mobilize, crystalloids, bisphosphonates, calcitonin

HYPERcalcemia

• Etiologies: hyperparathyroidism, cancer

• Treatment:

  • _________ patient

  • ______________ 200-300 mL/hr

  • ________________ IV (Alendronate, Zoledronate, Pamidronate)

  • _______________

calcium, albumin, magnesium, phosphorus

HYPOcalcemia

• Etiologies: Hypoparathyroidism, Vit D deficiency, Magnesium deficiency

• Treatment

  • ________

• Clinical Pearls

  • Correct for low _________

  • ___________ assessment

  • ____________ assessment

magnesium, hemodialysis, diuresis, calcium

HYPERmagnesemia

• Etiologies: Kidney disease, excessive intake

• Treatment

  • Don’t Give ___________

  • _____________

  • Forced __________

  • ___________ IV

Magnesium, delayed, rapid, poor, diarrhea

HYPOmagnesemia

• Etiologies: malnutrition, malabsorption, GI losses

• Treatment

  • ____________ → you have to give a lot of it quickly because your body tries to resist it

• Clinical Pearls

  • __________ equilibrium

  • Enhanced elimination with ______ infusion

  • Oral Products:

    • ____ absorption

    • Osmotic __________

Phosphate binders, calcium

HYPERphosphatemia

• Etiologies: Kidney Disease

• Treatment:

  • _____________ __________ (see CKD lecture)

• Clinical Pearls

  • Caution __________ replacement

Phosphorus, sodium, potassium, 7.5

HYPOphosphatemia

• Etiologies: malnutrition, CRRT

• Treatment

  • ___________ (IV vs PO)

• Clinical Pearls

  • IV: _________ vs ___________ products

  • Infusion rate MAX _._ mmol/hr