How is severe hypercalcemia managed in primary hyperparathyroidism?

Updated: Oct 02, 2018
  • Author: Lawrence Kim, MD, FACS, FACE; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Answer

Reduction of elevated serum calcium can be accomplished by the use of intravascular volume expansion with sodium chloride and loop diuretics such as furosemide once the intravascular volume is restored. Drugs such as calcitonin and IV bisphosphonate have been used as a temporary measure prior to surgical treatment.


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