Hypercalcemia, Acute Kidney Injury, and Metabolic Alkalosis

Table 1

Initial laboratory data.

Labs	Results	Normal values
White blood count	17.9 K/uL	4–10.8
Neutrophils	80%
Lymphocytes	8%
Monocytes	10%
Hemoglobin	12.8 g/dL	12.5–16.5
Platelet count	327 K/uL	140–400
Sodium	134 mmol/L	135–145
Potassium	3.2 mmol/L	3.5–5.1
Chloride	86 mmol/L	98–107
Sodium bicarbonate	34 mmol/L	22–31
Blood urea nitrogen	50 mg/dL	7–20
Creatinine	4.05 mg/dL (baseline 0.6 mg/dL)	0.7–1.3
Calcium	>20 mg/dL	8.4–10.2
Ionized calcium	3.2 mmol/L	1.17–1.38 mmol/L
Phosphorus	2.6 mg/dL	2.5–4.5
Total protein	7.3 g/dL	6.1–8.2
Albumin	4.7 g/dL	3.5–5.0
Total bilirubin	0.5 mg/dL	0.2–1.2
Aspartate aminotransferase	23 U/L	17–59
Alanine aminotransferase	12 U/L	21–72
Alkaline phosphatase	63 U/L	35–104 U/L
Arterial blood gas
pH	7.52	7.35–7.45
PCO2	35	35–45 mmHg
PO2	90	75–100 mmHg
HCO3-	32	18–23 mmHg
Urine calcium (mg/dL):urine creatinine (mg/dL) ratio	0.41	<0.14