Paediatric Palliative Care Guidelines
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Edition/Revision: 1.0
Archived

Hypercalcaemia - Archived

Pathophysiology
  • Extremely rare in children, as associated with adult cancers such as breast, thyroid and prostate.
  • May occur in context of extensive metastatic bone disease or hormone-secreting tumours.
Signs and symptoms
  • Severe and intolerable symptoms – must be treated urgently.
  • Pain (bone and abdominal).
  • Nausea and vomiting.
  • Confusion.
  • Polyuria
Management
  • Involve specialist palliative care team early.
  • Treat underlying cause if possible (e.g. radiotherapy to multiple lytic lesions caused by leukaemia).
  • Parenteral fluids.
  • Bisphosphonate therapy (seek guidance from specialist paediatric palliative team).

 

Edition/Revision: 1.0
Created 18 Jul 2013 - Archived
Validated 19 Jul 2013 by Ian Back
Last modified 5 Jul 2022
Wed 06 Jul 2022 11:51:10 GMT +0100 (DST)
Last modified 5 Jul 2022