What is specialist consultation indicated in the treatment of hypercalcemia?

Updated: Apr 11, 2018
  • Author: Thomas E Green, DO, MPH, MMM, CPE, FACEP, FACOEP; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Patients with renal failure or heart failure may not be able to tolerate fluid hydration or some of the other medications. Patients in this group who present with severe elevations of calcium may require urgent dialysis. Consult a nephrologist immediately in such cases.

Patients with primary hyperparathyroidism may require surgery to eliminate the condition, [18] but surgery usually does not need to be performed on an urgent basis.

Patients with malignancy may require surgery, chemotherapy, or radiation treatment. Appropriate consultation should be undertaken.


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