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HYPERPARATHYROIDISM kisa (PATHOPHYSIOLOGY (On primary the elevated…
HYPERPARATHYROIDISM
NURSING CARE PLAN
less urine production
Increase fluid intake
monitor fluid balance
Excess calcium in the body
Do passive exercises on patient
Provide normal saline for hydration
Change patient diet to low calcium
Provide Bisphosphonate as prescribed by the Doctor
Strain urine
Evaluation
improved urine output
Reduced calcium level on patient
DEFINITION
A condition where there is increase secretion of parathormone(PTH) which causes hypercalcemia
PATHOPHYSIOLOGY
On primary the elevated secretion of PTH
Causes rapid absorption of calcium from bones
Either primary or secondary hyperparathyroidism
which result to high level of calcium in the blood
The secondary part there is resistance in metabolism action of PTH
Elevated secretion of PTH
CAUSES
Cancerous growth
Adenoma of one of the parathyroid gland
Genetic predisposition
CLINICAL MANIFESTATIONS
weakness
Anorexia
Bone and joint pain
Depression or psychosis
Kidney stones
Chronic renal failure
PHARMACOLOGY
Provide analgesics for pain
Loop diuretics to decrease calcium level
Calcitonin
Bisphosphonates
Aluminium hydroxide gel
DIET
Provide patient with food high in Phosphate
Monitor phosphate on renal patients
Provide food low in calcium
DIAGNOSTIC STUDY
Blood test
Full blood count
Urine strain
REFERENCES
https://www.healthline.com
https://www.medicalnewstoday.com
