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Hypercalcemia of Malignacy & Tumor Lysis Syndrome
.
10
Computer Networking
12th Grade
11/30/2012

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Term
Metastatic bone disease treatment
Definition
-bisphosphonates
-Denosumab
-calcitonin
Term
Denosumab
Definition
-human monoclonal antibody for metstatic bone disease
-NOT for multiple myeloma
-AE-hypocalcemia, ostenecrosis of jaw, nausea, anemia, dyspnea, fatigue, constipation
Term
Treatment for Hypercalcemia of Malignancy
Definition
-Hydration
-furosemide
-bisphosphonates
-calcitonin
-corticosteroids
-IV phosphate
-Cinacalcet
Term
Zoledronic acid
Definition
-bisphosphonate (moderate to severe)
-more potent than pamidronate--more patients achieve normal calcium
-use carefully if SCr > 4.5
Term
Pamidronate
Definition
-bisphosphonate (moderate to severe)
-effective & well tolerated
SE-fever, flu-like symptoms, venous irritation
Term
calcitonin
Definition
-for ACUTE control of calcium levels
-rapid onset
-mild to moderate hypercalcemia
Term
corticosteroids
Definition
-useful in lymphoproliferative malignancies for hypercalcemia of malignancy
-used for Ca++ refractory to bisphosphonates
Term
IV phosphate
Definition
-used in hypercalcemia of malignancy if unresponsive to other agents
Term
Cilacalcet (Sensipar)
Definition
-used in hypercalcemia of malignancy if unresponsive to other agents.
Term
Rasburicase
Definition
-uused in treatment of hyperuricemia
AE-anaphylaxis, hemolysis (G6PD deficiency), methemoglobinemia
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