VITAMIN - D DEFICIENCY
DEFINITION
PATHOPHYSIOLOGY
Vitamin D is responsible for calcium homeostasis and bone metabolism.
Due to vitamin D deficiency, intestinal calcium decrease
phosphorus absorption results in hypocalcemia and hyperparathyroidism.
phosphaturia and accelerated bone demineralisation occur.
This lead to osteomalacia and osteoporosis in adults,
osteomalacia and rickets in children.
MANAGEMENT
Cholecalciferol
ergocalciferol
Calcidiol
Calcitriol
CLINICAL MANIFESTATIONS
Weakness after exercising
Muscle cramps
NURSING CARE PLAN
NURSING DIAGNOSIS
Pain in the muscles
DIAGNOSTIC TESTS
Blood samples
Bone biopsy
X-ray
Pain and discomfort
EXPECTED OUTCOME
Patient will be pain free
NURSING INTERVENTION
Administer prescribed medication for pain
Monitor the vital signs
HEALTH EDUCATION
Encourage the patient to take sources of vitamin D like fatty fish
Patient should be advised about more unprotected sun exposure .
Patients should be advised not to overdose prescribed supplements .
Patent should report immediately if vitamin D toxicity occurs
Fatigue
Ensure patient is on bed rest
Educate the patient about the diagnosis
Imbalanced diet
Patient will reach normal vitamin levels
Encourage the patient to avoid smoking and alcohol intake
Ensure the patient is seen by dietitian.
Not getting enough vitamin D for healthy living