Parathyroid Disorders

Parathyroid Disorders is a topic covered in the Pocket ICU Management.

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Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

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First Things First (assess & treat for the following)


  • 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


  • 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

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Last updated: May 10, 2010