Activation of the Na+/Ca2+ exchanger in the distal tubule is the most likely mechanism of thiazide hypercalcemia
Thiazide-hypercalcemia is a well-known clinical condition. By inhibiting the thiazide-sensitive NaCl transporter in the distal convoluted tubule, which is closely related to calcium transport, thiazides cause an increase in sodium excretion.
Thiazides hypercalcemia decreases urine calcium levels while raising blood calcium levels via promoting calcium reabsorption from the luminal membrane into the interstitium in exchange for sodium. High calcium levels are a well-known adverse effect of thiazide hypercalcemia diuretics including hydrochlorothiazide (Microzide) and chlorthalidone, which are used to treat high blood pressure. By blocking calcium from being discharged in the urine, which can also result in kidney stones, these drugs can boost calcium levels.
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Answer: The general principles of first aid would...
Take immediate action
Calm down the situation
Calling for medical assistance
Apply the relevant treatment
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