he Nursing Care of Hypercalcemia of Malignancy
Keywords:
hypercalemia of malignancy nursing careAbstract
Hypercalcemia of malignancy is the most common life-threatening condition, affecting around 10-30% of cancer patients. Lung, breast, and colorectal cancer are the most common cancers. Mild hypercalcemia can be asymptomatic or it can be associated with non-specific symptoms, such as musculoskeletal pain, nausea, and vomiting. It usually presents with markedly elevated calcium level and is severely symptomatic. In severe cases, hypercalcemia can be associated with neurocognitive function as well as volume depletion and renal failure. Treatment and nursing care focuses on i.v. hydration and the reduction of serum calcium through increased calciuresis, decreasing bone resorption and reducing the intestinal absorption of calcium. This article should help nurses understand how to manage the life-threatening symptoms of hypercalcemia of malignancy, its pathogenesis, the diagnostic and treatment strategies for each condition, and nursing care. In early assessment and nursing, lowering serum calcium levels can improve symptoms and reduce complications.(Thai Cancer J 2020;40:98-106)
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