Parathyroid Disorders
First Things First (assess & treat for the following)
Hyperparathyroidism
- Does pt have severe hypercalcemia requiring immediate attention?
- Corrected serum calcium >3.5 above upper limit of normal or ionized calcium level >20% above normal value and
- Evidence of shock due to volume depletion
- Mental status changes (psychosis, lethargy, stupor, coma)
- EKG changes (short QT, arrhythmias)
- Nausea, vomiting, and abdominal pain
- Renal failure
- Corrected serum calcium >3.5 above upper limit of normal or ionized calcium level >20% above normal value and
Hypoparathyroidism
- Does pt have severe hypocalcemia requiring immediate attention?
- Corrected serum calcium < 7.5 mg/dL or ionized calcium level < 80% of normal values and
- Frank tetany, laryngospasm, perioral numbness and carpopedal spasms
- Chvostek’s sign and Trousseau’s sign (which is more specific for hypocalcemia)
- Arrhythmias: long QT, bradycardia, heart block, cardiac arrest
- Hypotension, heart failure
- Frank tetany, laryngospasm, perioral numbness and carpopedal spasms
- Corrected serum calcium < 7.5 mg/dL or ionized calcium level < 80% of normal values and
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Last updated: May 10, 2010
Citation
"Parathyroid Disorders." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders.
Parathyroid Disorders. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders. Accessed December 14, 2024.
Parathyroid Disorders. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders
Parathyroid Disorders [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 December 14]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Parathyroid Disorders
ID - 534049
Y1 - 2010/05/10/
BT - Pocket ICU Management
UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders
PB - PocketMedicine.com, Inc
DB - Anesthesia Central
DP - Unbound Medicine
ER -