This is a new guideline from NICE on managing high calcium (Ca) levels and hyperparathyroidism published in May 2019.
I am doing a general summary of the guideline. Although some of this is going to be managed in secondary care, I have also summarised these bits of the guideline as we will be responsible for following up the patients.
When should you measure calcium levels?
- Symptoms of hypercalcaemia (e.g. thirst, frequent or excessive urination or constipation)
- Osteoporosis or fragility fracture.
- Renal stone.
- Incidental finding of Ca 2.6 mmol/L or more.
Also consider measuring it if there are ‘chronic non-differentiated symptoms’.
