علاج القلاء الاستقلابي مع فرط كالسيوم الدم ونقص الحجم داخل الأوعية الدموية

References

• The patient's findings of hypercalcemia (PTH-independent), metabolic alkalosis, and decreased kidney function are most likely caused by calcium alkali (milk alkali) syndrome.
• Correction of volume depletion should be the first choice in the setting of hypercalcemia, volume depletion, and metabolic alkalosis, which is why options (d) and (e) are not correct.
• Aggressive volume expansion is the most important initial therapeutic maneuver in hypercalcemia and metabolic alkalosis, making (c) the best answer to Question 4.
• Even though bisphosphonates and occasionally calcitonin are considered first-line treatment in hypercalcemia, correction of volume depletion should be the first choice in the setting of hypercalcemia, volume depletion, and metabolic alkalosis, which is why options (d) and (e) are not correct.
• The patient was started on a normal saline infusion at 200 mL/h and her calcium level and mental status improved 24 hours after admission.