Parathyroid Hormone (PTH) - Hyper/Hypo Flashcards
hypercalcemia
hyper
elevated Ca+
hyper
hyperphosphatemia
hypo
muscle weakness and fatigue
hyper
hypertension
hyper
psychosis
hyper
irritability
hyper
renal damage
hyper
renal calculi
hyper
cardiac dysrhythmias
hyper
abdominal pain, nausea and vomiting
hyper
osteoporosis
hyper (calcium in blood not bones)
polyuria and polydipsia
hyper
parasthesia
hypo
muscle cramps and tetany
hypo
Chvostek’s sign
hypo
Trousseau’s sign
hypo
hypocalcemia
hypo PTH
Hypophoshatimia
hyper PTH
painful menstruation
hypo
Alopecia
hypo
thin hair and brittle nails
hypo
mental retardation
hypo
Provide High Calcium, low phosphorus diet
hypo
institute seizure precautions
hypo (low calcium)
Treatment if Acute: Calcium gluconate
hypo
Chronic: Calcium salts (oral) and Vit D
hypo
Force fluids
Hyper
Low calcium low phosphorus diet
hyper
prevent constipation and fecal impaction
hyper
strain all of client’s urine
hyper
safety to prevent fractures
hyper
Med: Calcitonin
Hyper (tones down the calcium)
decreases the release of skeletal calcium and increases the kidney excretion of calcium, enhanced if given with glucocorticoids
Med: Hydration and diuretics (Lasix)
Hyper - promotes excretion of calcium
Med: Plicamycin (Mithracin) and gallium nitrate (Ganite)
Hyper - decreases the release of calcium and if used with NS and diuretics - encourages excretion of calcium
Tx: resection of parathyroid
Hyper
