[Music] Ro Rock today we're wrapping up hyper celmia hyper meaning High Cal meaning calcium and emia in the blood calcium more than 10.5 in the blood now calcium is a strong guy and so his function is to keep the 3bs strong so strong bones blood and beets for blood the clotting factors will be strong and beats we're talking about Heartbeats calcium is regulated by three main hormones first the parathyroid hormone which increases calcium concentration inside the blood next is calcitonin hormone which decreases blood calcium and puts a ton of calcium into the bone third is calcitrol which controls blood calcium by inhibiting the release of calcitonin basically it reverses that ton of calcium in the bone so calcium gets released into the bloodstream now now here's a little fun fact about calcium his BFF his best friend forever is Magnum magnesium so calcium helps fill job functions for magnesium often when magnesium is low his worst enemy is friendly frat boy phosphat so you'll often see when phosphate is low calcium is high and when calcium is low phosphate is high so what are the main causes that keep high calcium in the body and not in the potty well we use our Nifty acronym ham because cocky calcium is going all ham in the gym making your body swollen and slow so H is for hyper parathyroidism remember parathyroid increases calcium concentrations in the blood A is for anti- acids containing calcium like Tums usually given for heartburn m stands for malignant cancer cells which release excess calcium into the body H didn't know that one also don't forget about low phosphate as well because every time phosphate is low calcium is high now what's going on in hypercalcemia well high high calcium right so cocky calcium is making your body so swollen and slow and since cocky calcium makes the 3B strong bones blood and beets well then these will be slow and swollen as well so the heart's going to be swollen and slow Vital Signs you'll have decreased heart rate decreased respiratory rate and decreased blood pressure EKG will have heart blocks shorten QT waves and wide T waves also contraction of the heart muscles vam you said QT vve what's a man look at me I'm the Q basically your heart is way too swollen and super flexed and contracted like a big old cramp so the lungs are swollen and slow as well you'll have shortness of breath and weak respirations GI also also swollen and slow constipation will set in also nausea and vomiting because your body's trying to get rid of that extra calcium as far as gu our urinary system you'll have big fat kidney stones also called renal calculi big enlex tip right there neurologically the brain will be swollen and slow basically a lot of strain on the brain so loss of consciousness Al or alter level of Consciousness as well as decreased deep tendon reflexes dtrs now the muscles will be swollen and slow so decreased excitability in muscles and nerves now a severe sign will lead into muscle weakness from being so swollen and so contracted now a big enlex tip is bone pain because in most cases this excess calcium in the blood was taken out of the bones which weakens them so now that we know what's wrong with the patient what are we going to do about it so we use the acronym Slim Fast for our nursing interventions for high calcium High ER calcemia so s we have safety from Falls or basically fall precautions L stands for Lasix known as fosite are Loop Diuretics it will excrete electrolytes like mainly potassium but it also excretes calcium too I is for IV phosphate remember his worst enemy will decrease calcium when phosphate is high M is for monitor EKGs the eyes and O's input and output as well as kidney stones F is for fluid like normal saline which will dilute the blood and will decrease the chance of renal Stone formation A is for avoid high calcium foods we use the acronym LSD so L for leafy greens like spinach colored greens and even rhar s is for sardines and tofu and D is for dairy products like cheese milks and yogurt now s is for serious case we use dialysis basically our kidney machine to wash out that excess calcium from the blood te is treatment with calcium reabsorption Inhibitors remember that calcitonin which puts a ton of calcium into the bones well it takes it from the bloodstream we'll also give by phosphates because again guys whenever phosphate is high it decreases calcium also prostag gland and Inhibitors like aspirin or Neds like Ibuprofen will also decrease calcium in the blood all right guys that wraps up hypercalcemia high calcium in the body thanks for watching for our full video and new quiz Bank click right up here to access your free trial and please consider subscribing to our YouTube channel last but not least a big thanks to our team of experts helping us make these great videos all right guys see you next time [Music]