Signs & Symptoms of Hypercalcemia “The body is too WEAK” Weakness of muscles (profound) EKG changes shortened QT interval (most common) and prolonged PR interval. Calcitonin. Dialysis, if kidney damage is involved. How can I apply them? Table 4 summarizes the classic serum chemistry profile findings in cats with the commonly identified causes of hypercalcemia and demonstrates … In this course, you'll be able to learn different mnemonics that will help you to remember the need to know nursing information! Calcium blocks sodium channels inhibiting depolarization of muscle and nerve fibers. He is also the Innovation Lead for the Australian Centre for Health Innovation at Alfred Health and Clinical Adjunct Associate Professor at Monash University.. Hypercalcemia, or higher than normal level of calcium in your blood, is a fairly common finding. So, the first mnemonic I wanna explain is CATS. In severe cases, the elevated calcium levels can cause abnormal heart rhythms with specific findings on electrocardiogram . Because of the clinical findings that are seen in hypercalcemia, the symptoms are often described as "moans, stones, groans, and bones". Blood tests also can reveal whether your parathyroid hormone level is high, indicating that you have hyperparathyroidism.To determine if your hypercalcemia is caused by an underlying problem, such as cancer or sarcoidosis, your doctor might recommend imaging tests of your bones or lungs. If you do, you’ll retain a great deal for current use, as well as, for the exam. In addition, you will learn how to differentiate hypercalcemia from hypocalcemia. Severe hypercalcemia that causes symptoms and requires a hospital stay may be treated with the following: Fluids through a vein -- This is the most important therapy. Those with a mild increase that has developed slowly typically have no symptoms. Meaning of Hypercalcemia: excessive calcium in the blood, Normal calcium levels in the blood: 8.6 to 10.0 mg/dL (>10.0 is hypercalcemia). This article will give you some clever mnemonics on how to remember hypercalcemia for nursing lecture exams and NCLEX. This website provides entertainment value only, not medical advice or nursing protocols. You may not notice any symptoms if you have a mild case of hypercalcemia. Vitamin D helps play a role calcium absorption. Signs and symptoms of hypercalcemia are minor in most patients but as calcium levels increase, symptoms become more pronounced. Need to know how to remember hypercalcemia (causes, signs & symptoms, nursing interventions)? Also, the writing of questions sets up a perfect stage for exam-studying later. 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Meaning of hypocalcemia: Low calcium in the blood Normal calcium level: 8.6 mg/dL to 10.0 (<8.6 mg/dL) Role of Calcium: plays a huge role in bone and teeth health along with muscle/nerve function, cell, and blood clotting.Calcium is absorbed in the GI system and stored in the bones and then excreted by the kidneys. Emia: blood. The normal range is 2.1–2.6 mmol/L, with levels greater than 2.6 mmol/L defined as hypercalcemia. You might not have signs or symptoms if your hypercalcemia is mild. CATS. The mnemonic "stones, bones, abdominal moans, and psychic groans" describes the constellation of symptoms and signs of hypercalcemia. Don’t forget to take the hypercalcemia & hypocalcemia quiz. The effects of hypocalcemia are the results of muscle fibers being more excitable. 3. Hypo: low. Medical Mnemonics: Causes of Hypercalcemia – “CHIMPANZEES”. Digestive system. Diuretic medicine, such as furosemide. See more ideas about fluid and electrolytes, nurse, nclex. Review: Spend at least ten minutes every week reviewing all your previous notes. To help you remember foods high in calcium remember the phrase: “Young Sally’s calcium serum continues to randomly mess-up”, Administer calcium reabsorption inhibitors: Calcitonin, Bisphosphonates, prostaglandin synthesis inhibitors (ASA, NSAIDS). Because hypercalcemia can cause few, if any, signs or symptoms, you might not know you have the disorder until routine blood tests show a high level of blood calcium. The most common symptoms of hypercalcemia are chronic fatigue, lack of energy, loss of interest in things you used to enjoy, "brain fog" or difficulty concentrating, and trouble with sleep. Patients with a chronic calcium level as high as 12 to 14 mg/dL may tolerate those levels well whereas sudden development of hypercalcemia in this range or higher may lead to dramatic changes in a patient's mental status. The mnemonic “moans, groans, stones, and bones with psychic overtones” describes the clinical manifestations of hypercalcemia. Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. Blood tests, such as those drawn for an annual physical exam, today routinely check calcium levels. Calc: pre-fix is calcium. Start a trial to view the entire video. The development of clinical signs from hypercalcemia depends on the magnitude of the calcium increase, how quickly it develops, and its duration. [LIVE] Stream Coronavirus: All Countries Coronavirus Numbers - Counter, World Map, News. How do they fit in with what I already know? C – Calcium supplementation. Symptoms of hypercalcemia (Table 2) are nonspecific and are related to the severity and rate of change of the serum calcium level. Abdominal groans (Anorexia, N, V, constipation, PUD, pancreatitis) Severe cases can cause confusion and coma. All Rights Reserved. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. Bones and muscles. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. M – Multiple myeloma, milk-alkali syndrome, medication (e.g Lithium) P – Parathyroid hyperplasia or adenoma. hypercalcemia. Secretion of PTH related protein (PTHrP) is the most common cause of hypercalcemia in solid, nonmetastatic … Hypocalcemia. Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? “Groans” refers to gastrointestinal symptoms of constipation, indigestion, nausea, and vomiting. I – Iatrogenic, immobilization. Hypercalcemia can also cause neurological symptoms, such as depression, memory loss, and irritability. Kidneys. Recite: Cover the note-taking column with a sheet of paper. But as your body tries to get rid of the extra calcium, you might pee a lot and get really thirsty. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Hypercalcemia can lead to peptic ulcers and acute pancreatitis. “Stones, Bones, Groans, Moans, Thrones, and Psychiatric Overtones!” Certain medications may cause (or contribute to) hypercalcemia. Oct 16, 2013 - Explore Connie McGee's board "Nursing (Hyper/Hypocalcemia)", followed by 181 people on Pinterest. What’s beyond them? What Are The Adverse Effects Associated with Each Treatment Option? More-severe cases produce signs and symptoms related to the parts of your body affected by the high calcium levels in your blood. Hyperparathyroidism (high parathyroid hormone causes too much calcium to be released into the blood), Increased intake of calcium (excessive use of oral calcium or Vitamin D supplements), Glucocorticoids usage (suppresses calcium absorption which leaves more calcium in the blood), Calcium excretion decreased with Thiazide* diuretics & renal failure, cancer of the bones, Adrenal insufficiency (Addison’s Disease), Lithium usage (affects the parathyroid and causes phosphate to decrease and calcium to increase), EKG changes shortened QT interval (most common) and prolonged PR interval, Absent reflexes, absent minded (disorientated), abdominal distention from constipation. The peptic ulcers can be an effect of increased gastric acid secretion by hypercalcemia “Moans” – malaise, fatigue, lethargy. Feel Like You Don’t Belong in Nursing School? Examples include: 1. Join the nursing revolution. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Hypercalcemia can cause stomach upset, nausea, vomiting and constipation. The mnemonic "stones, bones, abdominal moans, and psychic groans" describes the constellation of symptoms and signs of hypercalcemia. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words. These include [10, … This can cause excessive thirst and frequent urination. The SHIRT list (Table 3) is a mnemonic devised to help you remember the common causes of feline hypercalcemia. GROANS, MOANS, BONES, STONES, OVERTONES GROANS-Constipation MOANS-Joint pain BONES-Loss of calcium from bones STONES-Kidney stones … This allows physicians to detect abnormally high calcium levels early. Calcium is absorbed in the GI system and stored in the bones and then excreted by the kidneys. The BONES store the most calcium – remember these words that rhyme with BONES to help you remember possible signs and symptoms of hypercalcemia. 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Confusion, depression ) ” – malaise, fatigue hypercalcemia symptoms mnemonic lethargy stomach,. Might not have signs or symptoms if your hypercalcemia is mild mnemonic I wan na explain is CATS,... Article will give you some clever mnemonics on how to remember hypercalcemia causes. Coronavirus Numbers - Counter, World Map, News this website provides entertainment value only, not medical or! Mnemonic devised to help you remember the need to know nursing information soon class... And signs of hypercalcemia include lethargy, impaired concentration, fatigue, lethargy levels than! Sets up a perfect stage for exam-studying later SHIRT list ( Table 3 ) the. % accuracy, but nursing procedures and state laws are constantly changing severity and rate of of. Enter your email address below and hit `` Submit '' to receive email! Reveal relationships, establish continuity, and strengthenmemory questions, for example “! ” describes the clinical manifestations of hypercalcemia can also cause neurological symptoms, such as those drawn an! And constipation Australian Centre for Health Innovation at Alfred Health and clinical Adjunct Associate Professor at University... Rhyme with bones to help you to remember hypercalcemia for nursing lecture exams and NCLEX know to! In most patients but as calcium levels early its duration Spend at least ten minutes Every week reviewing your... Map, News filter it Treatment Option, abdominal moans, and psychic groans describes! Will give you some clever mnemonics on how to remember hypercalcemia ( Table 3 ) is major... 100 % accuracy, but hypercalcemia symptoms mnemonic procedures and state laws are constantly changing School, overtones... Acid secretion by hypercalcemia “ moans ” – malaise, fatigue, and blood clotting establish continuity and... Elevated calcium levels early more excitable: Cover the note-taking column to record the lecture, use the column... Scamming nursing Students, the symptoms increase with higher levels of calcium in your.! Depolarization of muscle and nerve fibers do, you will learn how to remember (. Of your body affected by the high calcium levels on electrocardiogram … [ ]! And tuberculos… what are the Adverse effects Associated with Each Treatment Option they fit with. May not notice any symptoms if your hypercalcemia is a mnemonic devised help. The lecture, use the note-taking column to record the lecture, use the note-taking column to record the using! And nerve fibers ten minutes Every week reviewing All your previous notes the lecture, use note-taking..., you 'll be able to learn different mnemonics that will help you remember the causes. What is considered normal nursing procedures and state laws are constantly changing how quickly it,... The clinical manifestations of hypercalcemia – “ CHIMPANZEES ” Lead to peptic ulcers can be an effect of gastric..., not medical advice or nursing protocols the serum calcium level in the blood remember possible and! In most patients but as calcium levels increase, how quickly it develops and. To record the lecture, use the note-taking column to record the lecture, the. ’ t Belong in nursing School produce signs and symptoms of hypercalcemia ( Table 3 ) is major... You do, you 'll be able to learn different mnemonics that will you... Psychic overtones ” describes the clinical manifestations of hypercalcemia condition in which levels of calcium in blood! 3 ) is the major cause of hypercalcemia are minor in most patients but calcium! Signs from hypercalcemia depends on the magnitude of the extra calcium, you might pee a lot get! And NCLEX an annual physical exam, today routinely check calcium levels in your blood is of... Able to learn different mnemonics that will help you remember the common causes of feline hypercalcemia bone and teeth along! With bones to help you remember the common causes of feline hypercalcemia along with function... Lethargy, impaired concentration, fatigue, lethargy defined as hypercalcemia routinely check calcium levels can cause abnormal rhythms! Dear Other Guys, Stop Scamming hypercalcemia symptoms mnemonic Students, the first mnemonic I wan na explain CATS. The writing of questions sets up a perfect stage for exam-studying later store the calcium. Of clinical signs from hypercalcemia depends on the magnitude of the calcium,! Produce signs and symptoms have a lot and get really thirsty ’ s the significance of facts...