vWD - sonia29

[ArchivalUser]

INDICATION FOR IVIG OR RHOGAM

[ArchivalUser]

Pt has Metastatic Breast cancer with Calcium level 15, Your patient’s cancer cannot be cured.
How can her chronically elevated calcium level be managed?

A) Oral glucocorticoids.
B) Oral phosphates.
C) Oral bisphosphonates.
D) All of the above.

[ArchivalUser]

cc

[ArchivalUser]

CC

[ArchivalUser]

The correct answer is D. Glucocorticoids decrease
intestinal calcium absorption, but in and of themselves
can lead to bone density loss and an increased
risk for fractures. Oral phosphates can decrease intestinal
calcium absorption and bone re-absorption of
calcium. Bisphosphonates, decrease the serum calcium and increase bone
density.

[ArchivalUser]

sonia. are u sure about IVG in VWD?

[ArchivalUser]

u give oral corticosteroids for elevate ca level?with GlucocortcosteroiD u can make worse situation becaUsE corticocteroids increase also Ca so the answer is CC.
and in vwd there is a option to give IVIG !

[ArchivalUser]

IVIG can be used in acquired vWD

Acquired vWD can occur in patients with autoantibodies. In this case the function of vWF is not inhibited but the vWF-antibody complex is rapidly cleared from the circulation