Question

In Hypoparathyroidism due to Thyroidectomy Develop an SBAR regarding a patient situation that would warrant physician...

In Hypoparathyroidism due to Thyroidectomy

Develop an SBAR regarding a patient situation that would warrant physician notification.


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Answer #1

Parathyroid gland is situated next to thyroid gland. The acciental damage may be occur in parathyroid gland causes low calcium level due to decreased secretion of parathyroid hormone from parathyroid gland.

Situation

  • Patient has Hypoparathyroidism as a result of thyroidectomy causes hypocalcemia.

Back ground

decreased secretion of parathormone due to accidental damage of parathyroid gland causes low calcium(less than7.5mg/dl) and vitamin D and increased phoshate level.

Assessment

  • positive chvostek sign(facial twitch(
  • Positive trousseau sign(carpel twitch)
  • Tetany
  • Tingling sensations
  • Headache
  • Altered sensorium
  • Increased bone density
  • Convusion

Recommendations

  • monitor serum calcium level
  • Administer oral calcium if calcium or intrabenous calcium gluconate if ca less than 7.5mg/dl
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