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10 Cards in this Set
- Front
- Back
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Hypoparathyroidism (description)
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Condition caused by hyposecretion of parathryroid hormone by the parathryroid gland.
Can occur following thryroidectomy b/c of removal of parathyroid tissue. |
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Assessment of Hypoparthyroidism
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1. Positive Trousseau's sign or Chvostek's sign
2. Numbness and tingling in the face 3. Hypocalcemia and Hyperphosphatemia 4. Muscle cramps and cramps in the abdomen or in the extremities 5. Signs of overt tetany (bronchospasm, laryngospasm, carpopedal spasm) 6. Hypotension 7. Anxiety, irritability, depression |
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Hypoparathyroidism Interventions
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1. Monitor Vital Signs
2. Monitor signs of hypocalcemia and tetany 3. Initiate seizure precautions 4. Place a TRACHEOTOMY SET, OXYGEN, and SUCTION at the bedside 5.Provide a high-calcium, low phosphorus diet 6. Instruct the pt in the administration of calcium supplements as prescribed 7. Instruct the pt in the administration of vitamin D as prescribed (Vit D enhances the absorption of calcium from the GI tract 8. Instruct the client in the administration of phosphate binders as prescribed to promote the excretion of phosphate through the GI tract 9. Instruct pt to wear a Medical Alert bracelet |
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Parathyroid Gland Disorders
(2 types) |
1. Hypoparathyroidism
2. Hyperparathyroidism |
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Hyperparathyroidism
(description) |
Condition caused by hypersecretion of parathyroid hormone by the parathyroid gland.
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Assessment of Hyperparathyroidism
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LOOK FOR THE FOLLOWING:
1. Hypercalcemia and Hypophosphatemia 2. Fatigue and muscle weakness 3. Skeletal pain & tenderness 4. Bone deformities that result in pathological fractures 5. Anorexia, nausea, vomiting, epigastric pain 6. Weight loss 7. Constipation 8. Hypertension 9. Cardiac dysrhythmias 10. Renal stones |
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Interventions to take with Hyperparathyroidism
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1. Monitor vital signs, particulary Blood Pressure
2. Monitor for cardiac dysrhythmias 3. Monitor I/O and signs of renal stones 4. Monitor for skeletal pain; move pt slowly and carefully 5. Encourage fluid intake 6. Administer furosemide (Lasix) as prescribed to lower calcium levels 7. Administer saline IV to maintain hydration 8. Administer phosphates as prescribed, which interfere w/calcium resorption 9. Administer calcitonin (Calcimar) as prescribed to decrease skeletal calcium release and increase renal excretion of calcium 10. Monitor calcium and phosphorus levels 11. Prepare the client for parathryoidectomy if needed |
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Parathyroidectomy
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The removal of one or more of the parathyroid glands.
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Preoperative Parathyroidectomy Interventions
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1. Monitor electorlytes (Ca, Phosphate, Mg)
2. Ensure Ca levels are decreased to near-normal levels 3. Inform the pt that talking may be painful for the first day or two after surgery. |
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Postoperative Parathyroidectormy Interventions
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1. Monitor for respiratory distress
2. Place a TRACHEOTOMY SET, OXYGEN, and SUCTION at the bedside 3. Monitor vital signs 4. Positoin the client in a semi-Fowler's position 5. Address neck dressing for bleeding 6. Monitor for hypocalcemic crisis, as evidenced by tingling and twitching in the extremities and face 7. Assess for positive Trousseau's Sign or Chvostek's sign, which signals the potential for tetany. 8. Monitor for laryngeal nerve damage 9. Instruct the pt in the administration of calcium and Vit. D supplements |
