3 Simple Steps for a High Calcium Workup (Plus, Do-Not-Miss Diagnoses)

simple hypercalcemia work up

As a new nurse practitioner, I’d get a sinking feeling as I watched new lab results pile up in my inbox every time I’d check my computer between patients.

It’s a topic that’s somewhat covered in school… but not really. At least, not for most new grads.

Today’s video kicks off the Lab Interpretation Seriesโ€” concise, practical videos to help manage your overflowing lab results pile.

I love high calcium (#nerdalert) because it’s one of the simpler labs to workup. In this video, you’ll get:

  • Three easy steps to workup any high calcium
  • The #1 lab to think of when you see high calcium (bonus points if you can count the number of times I mention it! Ha!)
  • The hard-to-forget Do-Not-Miss diagnoses

Once you’ve watched, I’d love to hear from you.

What is your number 1 takeaway about hypercalcemia?

Leave me a comment below. Be sure to share your thoughts directly in the comments, no links or videos as they may be removed.

Thanks so much for watching. Hang in there, and I’ll see you soon.


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15 thoughts on “3 Simple Steps for a High Calcium Workup (Plus, Do-Not-Miss Diagnoses)”

  1. Pingback: Easy Framework for Hyperkalemia Workup | Real World NP

  2. Deborah K Sadler

    I loved the video. Thank you for sharing. I learned the importance of knowing s/s, labs to order, how to interpret lab. The algorithm was excellent.

  3. Thank you, these are so helpful! My preceptor in clinical has been giving me lab results and asking me to interpret them and come up with a plan if needed. Some labs can be very complicated. ๐Ÿ™‚

    1. Absolutely! I’m so glad they’re helping! That’s a super helpful exercise your preceptor is having you do, though. That’s absolutely the #1 struggle new grads have in their first job — lab interpretation!

  4. If the patient is on HCTZ do you still recommend doing a repeat Chemistry before decreasing the dose or discontinuing it?

    1. I definitely do, there can be lab errors, etc. So a one time repeat in a week or so is appropriate (as long as it’s not in the dangerously high range or symptomatic), and make sure to adjust based on the protein for a more “true” level (or order an ionized calcium instead of a chem panel if you have access).

  5. Karen Yeboah-Norment

    Helpful video, please create a video regarding initial workup for a positive ANA test to evaluate an autoimmune disorder.

  6. I recently just came across your video and they are helping me a lot. Where can I find your algorithms for management?

    1. I’m so glad they’re helpful! I don’t have the algorithms available for the videos here, but in the Lab Interpretation Crash Course it has all the algorithms and cheat sheets for download! It opens again next Friday if you’re interested in joining us: realworldnp.com/labs

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