HYPERPARATHYROIDISM SHORT NOTES

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HYPERPARATHYROIDISM

  • Hypersecretion of parathyroid hormone by the parathyroid gland

SIGNS AND SYMPTOMS

  • Hypercalcemia and hypophosphatemia
  • Fatigue, muscle weakness, skeletal pain and tenderness, anorexia, weight loss, constipation, hypertension, cardiac dysrhythmias, renal stones

TREATMENT

  • Monitor intake and output and for signs of renal stones
  • Monitor for skeletal pain. Move the client slowly and carefully to prevent pathological fracture
  • Encourage fluid intake
  • Administer furosemide(Lasix) to lower calcium levels
  • Administer phosphates, which interfere with calcium reabsorption, as prescribed
  • Administer calcitonin to decrease skeletal calcium release and increase renal excretion of calcium

SURGICAL MANAGEMENT

  • Parathyroidectomy

PARATHYROIDECTOMY

  • Removal of one or more of the parathyroid glands

PRE-OPERATIVE PREPARATION

  • Monitor for electrolytes, phosphates and magnesium level

POST-OPERATIVE MANAGEMENT

  • Monitor for respiratory distress
  • Place a tracheostomy set, oxygen and suctioning equipment at the bedside
  • Monitor vital signs
  • Position the client in a semi fowler position
  • Assess neck dressing for bleeding in posterior side
  • Monitor for laryngeal nerve damage
  • Administer calcium and vitamin-D as prescribed
HYPERPARATHYROIDISM SHORT NOTES
HYPERPARATHYROIDISM SHORT NOTES
HYPERPARATHYROIDISM SHORT NOTES
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READ MORE  HYPOTHYROIDISM SHORT NOTES

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