What do the parathyroids do?
Secrete PTH which makes you pull Ca from the bone and put it in the blood so serum Ca goes up
Too much PTH = ___ serum Ca
Increase
Too little PTH = serum Ca ___
Decrease
HyperPTH= HyperCa= ____
HYPOphosphatemia
Hyperparathyroidism=hypercalcemia=hypophosphatemia
Too much PTH so serum Ca is increased…Sedated or not enough sedation?
Sedated!
Hyperparathyroidism=hypercalcemia=hypophosphatemia
Serum phosphorous?
Decreased
Hyperparathyroidism
Partial parathyroidectomy–when you take out 2 of the parathyroids…This will cause PTH secretion to decrease or increase?
Decrease
What do you monitor post op of partial parathyroidectomy?
Monitor HYPOcalcemia (not enough sedation)
*tight, rigid muscles..can progress to tetany
Hypoparathyroidism= ? = ?
Hypocalcemia, hyperphosphatemia
Hypoparathyroidism
Not enough ___
PTH
Hypoparathyroidism
Serum ca ___
Decrease
Hypoparathyroidism
Serum phosphorous is ____
Increased
Hypoparathyroidism
Sedated or not sedated?
NOT sedated
Hypoparathyroidism
Tx–IV ___
Calcium
Hypoparathyroidism
Why gives phosphorus binding drug?
Binds to phosphorous so not as much phosphorus in blood means calcium goes up