Milk-alkali syndrome medical therapy: Difference between revisions
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{{Milk-alkali syndrome}} | {{Milk-alkali syndrome}} | ||
== Overview == | |||
Treatment of milk-alkali syndrome is mostly supportive and mainly includes withdrawal of the offending agent, hydration and [[Intravenous therapy|intravenous]] volume expansion. However, other treatments such as therapy with [[calcium]] supplements (in temporary [[hypocalcemia]]) and hemodialysis (in acute or chronic [[Irreversibility|irreversible]] [[renal insufficiency]]) may be required. | |||
== Medical Therapy == | |||
* Treatment of milk-alkali syndrome is mostly supportive, and with early [[diagnosis]] and therapy, renal function may return to normal. | |||
* The main treatment of milk-alkali syndrome includes: | |||
** Withdrawal of the offending agent. | |||
** Hydration and [[Intravenous therapy|intravenous]] volume expansion. | |||
* The above treatments usually resolve the symptoms and abnormalities in milk-alkali syndrome ([[hypercalcemia]], [[alkalosis]] and [[renal insufficiency]]). | |||
* Additional treatments that may be required include: | |||
** [[Calcium]] supplements may be needed since during therapy temporary [[hypocalcemia]] may occur. | |||
** In [[Hypercalcemia|hypercalcemic]] crisis, treatment with [[Intravenous therapy|intravenous]] [[furosemide]], pamindronate, and [[hydrocortisone]] have been reported to decrease [[calcium]]. | |||
=== Renal replacement with dialysis === | |||
Acute or chronic [[Irreversibility|irreversible]] [[renal insufficiency]] may require [[Renal replacement therapy|renal replacement]] with [[dialysis]]. | |||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 10:08, 14 July 2020
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Overview
Treatment of milk-alkali syndrome is mostly supportive and mainly includes withdrawal of the offending agent, hydration and intravenous volume expansion. However, other treatments such as therapy with calcium supplements (in temporary hypocalcemia) and hemodialysis (in acute or chronic irreversible renal insufficiency) may be required.
Medical Therapy
- Treatment of milk-alkali syndrome is mostly supportive, and with early diagnosis and therapy, renal function may return to normal.
- The main treatment of milk-alkali syndrome includes:
- Withdrawal of the offending agent.
- Hydration and intravenous volume expansion.
- The above treatments usually resolve the symptoms and abnormalities in milk-alkali syndrome (hypercalcemia, alkalosis and renal insufficiency).
- Additional treatments that may be required include:
- Calcium supplements may be needed since during therapy temporary hypocalcemia may occur.
- In hypercalcemic crisis, treatment with intravenous furosemide, pamindronate, and hydrocortisone have been reported to decrease calcium.
Renal replacement with dialysis
Acute or chronic irreversible renal insufficiency may require renal replacement with dialysis.