1. Cardiac arrhythmia
2. Cardiac arrest
3. Muscle cramps, fatigue
4. Respiratory muscle paralysis
5. Hypokalemic nephropathy
Distribution of Calcium (Ca)
• 0.5% in soft tissues (6–7 g)
• 0.1% in ECF (1200–1400 mg)
• 99% in bone (1200–1400 g) → Hydroxyapatite crystal [Ca■■(PO■)■(OH)■]
Forms of Bone Calcium
• Labile Ca pool (5–10 g)
• Stable Ca pool (1200–1400 g)
Calcium Balance
Intake: 1000 mg/day through milk & milk products, fish, meat, vegetables
Output: 1000 mg/day through urine (200 mg) & feces (800 mg)
Consequences of Hypercalcemia
1. Cardiac arrhythmia
2. Cardiac arrest
3. Tingling and paresthesia
4. Respiratory muscle paralysis