HYPERPARATHYROIDISM
Emily is a 65 year old woman who has been complaining of continued emotional irritability. Her family describes her as always being “on edge” and neurotic. After several months of exacerbated symptoms, Emily underwent a complete physical examination and was diagnosed with hyperparathyroidism. Emily is having difficulty closing her eyes and has to use artificial tears because her eyes are so dry. What condition does the nurse observe that Emily has that causes this problem? Emily also complains of “feeling like my heart is beating out of my chest.” What does the nurse explain to Emily is causing this feeling? Emily is started with methimazole (Tapazole) for treatment of hyperparathyroidism. What education does the nurse provide about the medication?
Homework Answers
1) The nurse must assess for band keratopathy, asymptomatic conjunctival calcification, and conjunctivitis because these are some of the ocular manifestations related to hyperparathyroidism.
2) Explaination by nurse - hyperparathyroidism cause arrhythmias due to the low calcium levels causing cell excitability.
3) Client Education
Advise patient to report sore throat, fever, chills, headache, malaise, weakness, yellowing of eyes or skin, unusual bleeding or bruising, symptoms of hyperthyroidism or hypothyroidism, or rash to health care professional promptly. Advise patient to notify health care professional of all Rx or OTC medications, vitamins, or herbal products being taken and to consult with health care professional before taking other medications.
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