[Hypercalcemia complicated with status nervosus in an elderly patient on hemodialysis during parental nutrition].
An 89-year-old male patient on hemodialysis presented clouding of consciousness caused by hypoglycemia during taking an anti-diabetic agent. His somnolent state continued in spite of glucose dispensation, and parental nutrition was started by a nasogastric tube because he couldn't have peroral ingestion. Though his blood glucose level recovered normal, his consciousness disorder was suspended, and he showed remarkable hypercalcemia. He was dosed with elcatonin, and the parental nutrient was changed to the other one that contained less vitamin D and calcium, and so his serum calcium level diminished slowly but he showed drowsiness about a month long. After resumption of peroral ingestion, his consciousness restored to the former condition rapidly. This case suggests that careful observation is needed in less active dialysis patients with parental nutrition because nutrient-contained vitamin D and calcium, which doesn't harm patients without renal insufficiency, may cause hypercalcemia.
Okazaki
Akiko
A
Kitamura Hospital.
Kitamura
Kiyoshi
K
D000368:Aged; D000369:Aged, 80 and over; D003244:Consciousness Disorders / Q000209:etiology*; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D006435:Renal Dialysis