Académique Documents
Professionnel Documents
Culture Documents
DISORDER
-PARATHYROID
GLAND-
PRESENTATION BY :
GROUP 3
PARATHYROIDISM
• Two condition :
1. Hyperparathyroidism
2. Hypoparathyroidism
Hyperparathyroi
dism
Definition
• Increase secretion of
parathyroid hormone (PTH)
affecting kidneys, bones.
• Occurs rarely and results in
increased serum calcium.
Pathophysiology
Tumor or hyperplasia of
parathyroid
Resulting
hypercalcemia,hypophosphatemia
Signs & Symptoms
• Asymptomatic
• Behaviors :
- Bone decalcification(increase of
bone fractures)
- Renal calculi
- Abdominal pain, constipation
• Also have metabolic acidosis,
hypocalcemia, dysrhythmias,
muscle weakness.
Diagnostic Test
• Blood test :
-Serum calcium
-Phosphorus
-Magnesium
-Electrolytes
Cont…
• Bone x-rays
• Scans
Treatment
1. Focus on decreasing calcium levels
2. Increase fluid intake, remain
active
3. Avoid calcium supplements,
thiazide diuretics
4. Removal of parathyroid gland
5. Severe hypercalcemia involves
hospitalization & iv saline
Cont…
6. Medication :-
Alendronate (Fosamax)
Pamidronate (Aredia)
Nursing Diagnosis
And
Intervention
(hyperparathyroidism)
• Risk for excess fluid volume
related to renal disfunctions