Hypoparathyroidism
- Decreased in PTH level leading to hypocalcemia and hyperphosphatemia
- Accidental removal of parathyroid gland during thyroidectomy or neck surgery.
- Muscle weakness/spasms
- Dry skin
- Bronchospasms and laryngospasms
- Seizures
- Cardiac Dysrhythmias
- Circumoral paresthesia
- abdominal pain, nausea, vomiting, diarrhea, and loss of appetite.
- Positive Chvostek and Trousseau sign.
Assessment for Hypocalcemia
Contraction of facial nerves when tapping in front of ear (facial nerve).
Carpal Spasms when inflating blood pressure cuff
PTH, Calcium
Phosphorus
- Treatment: Vitamin D to enhance calcium absorption
- Increased calcium in diet.
- Calcium supplements
- give calcium gluconate/calcium chloride for acute hypocalcemia with symptoms.
- Monitor for Cardiac Dysrhythmias
- Sedatives and anticonvulsants
- Seizures precautions
- Quiet environment
- Assess for bronchospasms
- Administer bronchodilators
- Tracheotomy at the bedside
- Calcium potentiates digoxin. Monitor for digoxin toxicity.
Monitor for Dysrhythmias
Seizures Precautions
