ISABELA STATE UNIVERSITY

CITY OF ILAGAN CAMPUS

COLLEGE OF NURSING
BACHELOR OF SCIENCE IN NURSING

CARE OF THE CLIENTS WITH

ENDOCRINE AND METABOLIC
DISORDER
CHARLES Z. ARIOLA JR., RN, MSN, LPT.
PARATHYROID GLANDS

- Normally four glands and are located in the neck and

embedded in the posterior aspect of the thyroid gland
- Produces parathormone (protein hormone that
regulates calcium and phosphorus metabolism
- Increased parathormone results in increased calcium
absorption from kidney, intestines, bones which raise
the blood calcium level
 HYPERPARATHYROIDISM
- Caused by overproduction of parathormone by the parathyroid
glands
- Characterized by bone decalcification and development of renal
calculi (kidney stones) containing calcium
 PRIMARY HYPERPARATHYROIDISM
- Occurs two to four times more often in women than in men ages
60-70
- Half of the people diagnosed with the disease do not have
symptoms

SECONDARY HYPERPARATHYROIDISM
- Occurs in patients with chronic renal failure as a result of
increased stimulation of parathyroid glands and ,increased
parathormone secretion
 CLINICAL MANIFESTATIONS
- Musculoskeletal symptoms
- Apathy
(demineralization of the
- Fatigue bones)
- Muscle weakness a. Skeletal pain
- Nausea b. Tenderness
- Vomiting c. Pain on weight bearing
- Constipation d. Pathologic fractures
- Hypertension e. Deformities
- Cardiac dysrhythmias f. Shortening of body stature
 SIGNS ANS SYMPTOMS
- Anterior neck pain
- Fever
- Dysphagia
- Pharyngitis
- Warmth, redness and tenderness of thyroid gland
 MANAGEMENT
- Antimicrobial agent
- Fluid replacemenot
- Surgical incision
- Drainage (if with abscess)
 SUBACURTE THYROIDITIS
- Can be subacute granulomatous thyroiditis or painless
thyroiditis (silent thyroiditis) or acute lymphocytic thyroiditis
- Affects women ages 40-50
 SIGNS AND SYMPTOMS
- Painful swelling in anterior neck (1-2 months)
- Respiratory infection
- Enlargement of thyroid glabnd
- Difficulty of swallowing
- Irritability
- Restlessness
- Nervousness
- Insomnia
- Weight loss
- other manifestions of hyperthyroidism
 MANAGEMENT
- NSAIDS
- No aspirin
- Propranolol
- PTU/Methimazole not effective
- Oral corticosteroids
 CHRONIC THYROIDITIS
(HASHIMOTO’S DISEASE)
- Most often in women ages 30-50
- In contrast to acute thyroiditis, chronic is not usually
accompanied by pain, pressure symptoms or fever
- Thyroid activity is normal or low rather than increased
 MANAGEMENT
- Reduction or thyroid gland and prevent hypothyroidism
- Thyroid hormone therapy
- surgery