アクセス数 : ?
ダウンロード数 : ?
ID 115792
タイトル別表記
Immobilization hypercalcemia during prolonged respiratory management for ARDS : A case report
不動に伴う高Calcium血症を呈したARDS患者
著者
高島, 拓也 徳島大学
西川, 真理恵 近江八幡市立総合医療センター
キーワード
Immobilization
Hypercalcemia
Intensive care
資料タイプ
学術雑誌論文
抄録
Immobilization hypercalcemia is a rare complication in critically ill patients and causes weakness and gastrointestinal symptoms, symptoms that may lead to delayed rehabilitation and mobilization. A45-year-old woman developed ARDS and received prolonged mechanical ventilation. She received deep sedation to control excessive inspiratory effort and agitation until the 10th day. She developed hypercalcemia, which induced nausea and vomiting, on the fifth day. It was difficult to implement early physical rehabilitation and mobilization due to hypercalcemic symptoms. She was diagnosed with immobilization hypercalcemia and received alendronate sodium and elcatonin. The serum corrected calcium rapidly normalized and nausea disappeared after these drugs administration. After that, she underwent rehabilitation and was liberated from mechanical ventilation on the 63rd day. For the diagnosis of immobilization hypercalcemia, it is important to recognize risk factors such as long-term immobility, obesity, and an internal history of antiestrogens preparation. We should consider pharmacological intervention if it is difficult to implement early rehabilitation and mobilization due to symptoms of hypercalcemia.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
76
5-6
開始ページ
307
終了ページ
310
並び順
307
発行日
2020-12-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院
医学系