ENDOCRINE - Parathyroid

Question 1

4 assessments of ACUTE hypoparathyroidism?

Answer 1

• parasthesias
• Positive chvostek+Trousseau
• Dysphagia
• Stridor - (Wheezing from laryngospasms)

Question 2

What would an Xray reveal in hypoparathyroidism?

Answer 2

*X-ray – reveals increased bone density.

Calcium is not being taken from bones due to lack of parathyroid

Question 3

Treatment for acute hypoparathyroidism involves administering _____ or _____by _____IV drip as ordered
emergency treatment of _____

Answer 3

• Calcium gluconate
• Calcium Chloride
• Slow IV drip
• Hypocalcemic tetany

Question 4

What 3 things are given for chronic hypoparathyroidism and why?

Answer 4

• Oral Calcium
• Vitamin D - helps absorb calcium in gi tract
• Aluminum Hydroxide Gel -Lowers phosphate Gi abosroption

Question 5

Hyperparathyroidism is where Bone metabolism changes and leads to _______.
Who is this most common in?

Answer 5

• Demineralization

* Women 35-65

Question 6

two medications that should be checked for in hyperparathyroidism because they increase serum calcium?

Answer 6

Check use of thiazide diuretics or Vit.D

Question 7

Two assessment findings dealing with the kidneys in hyperparathyroidism?

Answer 7

• Renal calcium calculi

* renal damage (hematuria, flank pain).

Question 8

Two interventions for hyperparathyroidism?

Answer 8

Strain urine for calculi.

Avoid high impact activities to prevent pathological fractures.