parathyroid Flashcards
Calcium relation with parathyroid concentn
serum CA= high concentration
Hyperparathyroidism 2 causes
done decalcification and renal calculi
Hyperparathyroidism diseases 4 s/s
HTN
peptic ulcer
pancreatits
kidney stones
Hyperparathyroid s/s4
apathy
muscle weakness
constipation
cardiac dysrhyms
Hyperparathyroidism treatment 5 surgery meds activity diet
parathyroidectomy
hydration thpy- cation more than 2-3L renal cal
avoid thiazides
mobility- get moving
diet- avd restriction or xcess ca , prune juice or stool softner (contripation)
Hyperparathyroid complication
problem
tx 3
hypercalmic crisis > 13 CA- neuro cardiac kidney impmt
tx- rapid IV hydration caltonin
corticosteriods
HYPOparthyroidism causes 3
abnml develpment/ removal parathyr
VIT D deficiency
s/s of HYPOparathyroid
CATS
3 more
CATS
cramping anorexia tetany/tingling seizures
hypotension, dysphagia, anxiety
DX of HYPOparathyroid 3
pos CHVostek and Trousseaus
CA low
xray- bone density
HYPOparathyroidism TX- 6 diuretic combinitation replace CA aluminum lab level
increase CA 9-10 (releave s/s and CA incr)
Combination- calcium magnesium vit D2 or D3 (calcitrol)
Thiazide diuretic
IV ca gluconate (tetany)
trach/ mech- respiratory disease
Aluminum- hydroxide or carbonate
HYPOparathyroidism- post op 4 (pc)
same as thyroid watch for hypocalcemia anticipate signs of tetany seizure respiratory diff IV CA gluconate CA can cause dysrhymia