pediatrics
Neonatal Hypercalcemia
Treatment of Neonatal Hypercalcemia
IV normal saline plusfurosemide Sometimes corticosteroids,calcitonin, and bisphosphonates Marked elevation of serum calcium may be treated with normal saline 20 mL/kg IV plusfurosemide2 mg/kg IV and, when persistent, with corticosteroids andcalcitonin. Bisphosphonates are also increasingly used in this context (eg,etidronateby mouth orpamidronateIV). Treatment of subcutaneous fat necrosis is with a low-calcium formula; fluids,furosemide,calcitonin, and corticosteroids are used as indicated by the degree of hypercalcemia. Fetal hypercalcemia caused by maternal hypoparathyroidism can be treated expectantly, because it usually resolves spontaneously within a few weeks. Treatment of chronic conditions includes a low-calcium, low-vitamin Dformula. 