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Management for

Hypoparathyroidis
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MEDICAL MANAGEMENT .

recombinant parathyroid hormone may be administered . calcium.Increase serum calcium level  Increase calcium level to 9-10 mg/dL  Eliminate the symptoms of Hypoparathyroidism and hypocalcemia  Administration of Calcitrol. magnesium and Vitamin D  A thiazide diuretic may be administered to help decrease urinary calcium urinary excretion  If osteoporosis occurs.

Chronic Hypoparathyroidism  Diet high in calcium and low in phosphorus  Oral tablets of calcium salts such as calcium gluconate for diet supplementation  Aluminum hydroxide gel or aluminum carbonate combined with meals to bind phosphate and promote excretion through GI tract .

NURSING MANAGEMENT .

seizures and respiratory difficulties for patients who undergone thyroidectomy and parathyroidectomy  Calcium gluconate administration  Continuous cardiac monitoring for patients with cardiac disorders  Patient education about medications and diet IV for emergency . tetany. Early detection of hypocalcemia.