parathyroid Flashcards
1
Q
what does the parathyroid produce
A
PTH: regulates the balance between calcium and phosphorus (inverse relationship)
2
Q
how does PTH elevate blood calcium
A
take calcium from bone and the conversion of vitamin D
3
Q
hyperparathyroidism correlates to what electrolyte abnormality
A
hypercalcemia
4
Q
hypercalcemia
A
- kidney stones!!
- pancreatitis
- peptic ulcers
- muscle weakness
5
Q
hyperparathyroidism treatment
A
parathyroidectomy
hydration
6
Q
parathyroidectomy post op nursing considerations
A
at risk for hypocalcemia
- watch for tetany!! stridor, bleeding, infection
7
Q
what should patients diagnosed with hyperparathyroidism avoid and why?
A
thiazide diuretics: can cause retention of calcium
8
Q
hypoparathyroidism correlates to what electrolyte abnormality
A
hypocalcemia
9
Q
hypocalcemia
A
- tetany!!
- spasms
- chvosteks sign and trousseaus sign
10
Q
hypoparathyroidism management
A
- replace calcium!!
- emergency: calcium gluconate IV
- give thiazide diuretics to hold onto calcium
- parathormone replacement
