HYPOPARATHYROIDISM SHORT NOTES

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HYPOPARATHYROIDISM

  • Hyposecretion of parathyroid hormone by the parathyroid gland

CAUSES

  • Thyroidectomy (accidental removal of parathyroid tissue)

SIGNS AND SYMPTOMS

  • Hypocalcemia and hyperphosphatemia
  • Numbness, tingling in face, muscle cramps in the abdomen
  • Positive trousseau sign or Chvostek sign
  • Signs of tetany such as bronchospasm, laryngospasm, carpopedal spasm, cardiac dysrhythmias, seizures
  • Hypotension, irritability and depression

DIAGNOSIS

  • Serum calcium level(8.6 to 10 mg/dL)

TREATMENT

  • Monitor vital signs
  • Monitor for signs of hypocalcemia and tetany
  • Place a tracheostomy set, oxygen and suction equipment at bedside
  • Administer injection calcium gluconate(10 ml over 10 minutes)
  • Provide high calcium and low phosphorus diet
  • Instruct client in the administration of Vitamin D supplements as prescribed, vitamin D enhances the absorption of calcium from gastrointestinal tract
  • Instruct client in the administration of phosphate binders as prescribed to promote the excretion of phosphate through the gastrointestinal tract.
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READ MORE  COMMUNITY HEALTH NURSING IMPORTANT POINTS

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