Hypercalcemia
Structured condition card with NCLEX priority cues and nursing action focus.
Renal / Urinary / Electrolyteshigh priorityneeds review
Hypercalcemia
Etiology / Pathophysiology
- Cancer, hyperparathyroidism, immobility, excess vitamin D/calcium.
- High calcium decreases neuromuscular excitability and affects kidneys, heart, and GI tract.
Medications
| Class | Why it matters |
|---|---|
| Diuretics | Fluids and selected diuretics may be used per treatment plan. |
Nursing actions
- Encourage fluids if allowed and mobility.
- Monitor constipation, confusion, kidney stones, and ECG changes.
- Implement fall precautions.
Complications
- Kidney stones
- Dysrhythmias
- Dehydration
- Confusion
NCLEX cues
- Stones, bones, groans, psychiatric overtones.
- Shortened QT can occur.
Memory hooks
- High calcium slows and stones.
Labs / Diagnostics
- Trend assessment findings and ordered diagnostics; verify exact values with school source material.
Review notes
- Session-derived study seed. Verify against school materials, ATI/NCLEX review sources, current orders, and facility policy before relying on details.