UNIT 9 Vitamin D Analogue CHAPTER 49

Question 1

Parathyroid

Answer 1

4 GLANDS LOCATED ON THE BACK OF THE THYROID
GLAND
* PARATHYROID HORMONE (PTH): REGULATES
CALCIUM LEVELS IN THE BLOOD.
* PROMOTES CALCIUM RELEASE FROM BONE
* PROMOTES CALCIUM ABSORPTION FROM GI TRACT
* PROMOTES CALCIUM REABSORPTION IN KIDNEYS
PARATHYROID GLAND

Question 2

S/S OF HYPOPARATHYROIDISM

Answer 2

PARATHYROID DISORDERS (PARATHYROID HORMONE
DEFICIENCY)
* LOW CALCIUM ASSOCIATED WITH CRF
* DECREASE BONE RESORPTION
* TREATMENT
* CALCITRIOL
* CLASS – VITAMIN D ANALOG
* ACTION
* PROMOTES CALCIUM ABSORPTION FROM GI TRACT
* DECREASES BONE RESORPTION (SECRETION OF CALCIUM FROM BONE TO
BLOOD)
* ENHANCES CA REABSORPTION BY KIDNEYS
* NET EFFECT: INCREASE SERUM CALCIUM LEVEL

Question 3

Drug of choice Calcitrol

Answer 3

SIDE EFFECTS
* FATIGUE, WEAKNESS, SOMNOLENCE, N/V, DIARRHEA, CRAMPS,
DIZZY/DROWSY, ANOREXIA

• ADVERSE REACTIONS
• HYPERCALCEMIA, ARRYTHMIAS, HTN
• CONTRAINDICATIONS/INTERACTIONS
• CARDIAC DISEASE, RENAL CALCULI, MALABSORPTION
  SYNDROME
• DIGOXIN, VERAPAMIL
• CAN INCREASE CALCIUM WITH THIAZIDE DIURETICS AND CALCIUM SUPPLEMENTS

Question 4

Nursing Process Calcitrol

Answer 4

ASSESSMENT
* SERUM CALCIUM LEVEL – 9-10.5 MG/DL
* SIGNS AND SYMPTOMS OF HYPOCALCEMIA – TWITCHING OF
MOUTH, TINGLING AND NUMBNESS OF FINGERS,
CARPOPEDAL SPASMS, MUSCLE SPASMS
* INTERVENTIONS
* MONITOR SERUM CALCIUM LEVEL AND FOR S/S OF
HYPOCALCEMIA
* TEACH PATIENT TO REPORT S/S OF HYPOCALCEMIA
* CHEVOSTEK AND
TROUSSEAU SIGNS

Question 5

Normal range for calcium

Answer 5

9-10.5