CB

Parathyroid Disorders (3/31)

Parathyroid Gland

  • Four pea sized glands on POSTERior thyroid

  • Secretes PTH

    • Parathyrdoid hormone

    • Released when blood calcium is low

    • Bone resorbption

PTH is released when…. blood calcisum is low

, stimulating osteoclast activity to release calcium from bones into the bloodstream, thereby helping to raise calcium levels.

Hypoparathroudism

  • Rare

  • Damage during surgery or genetic 

  • Presents are HYPOCalemia

    • Traossueas sign

      • arm

    • Choverek’s signs

      • face

    • Muscle cramps

    • Tetany

    • Convulsion

    • Mood changes

  • Treatment

    • Replacement PTH

    • Normalize calcium


Hyperparathyroidism

  • Due to parathyroid adenoma

  • Primary

    • Elevated pth and clacisum

  • Secondary

    • Elevated pth and low/normal calcisun

Signs’

  • Muscle weakness

  • Kidney stones

  • Osteoporosis

  • Pathological fractures

  • Poor concentration

  • Neuropathy

Treteament

  • Surgery

  • Reduce serum calcisum


Calicum serum range is 9.5-11


Which assessment should the nurse expect to see in a client whose levothyroxine dose is sub-therapeutic

  • Lethargy, bradycardia, pallor (SLOW still)


Should client stop Levo when nauseous?

  • NOO


Enlarged gland test

  • Dysphagia swallow test


hyperparapthroudism>>> INCREASES blood calcisum



hypotherydosm  what is the priory

  • Depression


Foods with idone that people taking methimazole avoid

  • Shrimp

  • Lobster