Which treatments should a nurse consider for a patient with multiple myeloma experiencing elevated calcium levels?

In the case of a patient with multiple myeloma who is experiencing elevated calcium levels, adequate hydration is a crucial treatment consideration. Elevated calcium levels, or hypercalcemia, are a common complication in multiple myeloma due to increased bone resorption caused by the disease. When calcium levels are high, maintaining hydration helps to dilute the calcium in the bloodstream and supports renal function, allowing for improved kidney clearance of excess calcium.

Hydration also helps prevent the risk of complications associated with hypercalcemia, such as kidney stones, constipation, or even renal failure. Therefore, ensuring proper fluid intake is essential in managing elevated calcium levels in these patients and is an important nursing intervention that directly addresses the underlying issue of hypercalcemia.

While chemotherapy and the other options may play roles in a comprehensive treatment plan, they do not specifically target the immediate concern of elevated calcium levels as effectively as ensuring adequate hydration does.