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33 Cards in this Set
- Front
- Back
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Para - effect of decr Ca++ levels
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incr bone resorption
incr reabsorption incr release of calcitriol incr phosphate release inhibits calcitonin |
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para - effect of incr Ca++ levels
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incr excretion in kidneys
incr bone deposition decr GI absorption decr phosphate release inhibit PTH |
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hyperPT - primary def
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overactivity of glands resulting in excess production of PTH hormone
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hyperPT - primary d/t
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adenoma
hyperplasia carcinoma (rare) |
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hyperPT - primary results in
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hypercalcemia
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hyperPT - primary sx inc
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50% asx
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hyperPT - primary sx
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stones
bones moans abd groans psychic overtones |
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hyperPT - primary PTH
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elevated or inappropriately nml in presence of elevated calcium
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hyperPT - primary serum Ca++
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elevated
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hyperPT - primary phosphate
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abnormally low d/t decr renal tubular resorption
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hyperPT - primary alk phos
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inappropriately nml relative to incr Ca++ levels
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hyperPT - primary hypercalcemia tx
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correct dehydration
diuresis inhibit PTH |
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hyperPT - primary tx general
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fix hypercalcemia
surgery cinacalcet bisphosphonates vitamin D |
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hyperPT - secondary d/t
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failing kidneys don't convert enough vit D to it active form and they do not adequately excrete phosphate, resulting in insoluble ca phosphate forming in body, thus removed from circulation
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hyperPT - secondary vitamin D
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deficiency
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hyperPT - secondary deficiency d/t
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no conversion of vitamin D to active form
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hyperPT - secondary s/s
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rickets
osteomalacia renal osteodystrophy |
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hyperPT - secondary PTH
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hihg
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hyperPT - secondary serum ca++
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decr or nml
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hyperPT - secondary serum phosphate
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incr d/t renal disease
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hyperPT - secondary alk phos
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elevated
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hyperPT - secondary tx
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underlying dz
vitamin D calcium gluconate cinacalcet |
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hypoPT - def
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underproduction of PTH hormone
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hypoPT - d/t
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removal or tauma
AI invasion hemochromatosis Mg deficiency |
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hypoPT - s/s
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paresthesia
tetany fatigue abd pain arrhythmias laryngospasm |
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hypoPT - complications long term
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cataracts
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hypoPT - tests
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chvostek
trousseau |
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hypoPT - Ca++
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decr
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hypoPT - albumin
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measure for serum correction .8* (nml alb-pt alb) + serum Ca
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hypoPT - PTH
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decreased
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hypoPT - be sure to check
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Mg levels
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hypoPT - tx asx
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1-4g/day PO divided into 4 doses
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hypoPT - tx urgent
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10 ml of 10% calcium gluconate over 10 minutes central lines
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