[Adults] Hypoparathyroidsm

* decreased function of parathyroid hormone(PTH) -> hypocalcemia

* Common cause: accidental removal or injury during neck surgery (eg. thyroidectomy)

 

 

decreased Ca, increased Phosphate, decreased PTH

tingling and numbness

Carpal spam (trousseau sign)

Facial twitch (Chvostek sign)

Muscle cramps

Prolonged QT interval

Severe tetany (dysphagia, laryngospasm)

CNS -> sezures precautions

monitor for dysrhythmias

Diet: high calcium, high vitamin D diet. (dark green vegatables, tofu), low phosphorus diet

mild hypocalcemia (ca >7.5) : oral calcium and vitamin D

Severe hypocalcemia -> IV cacium gluconate(가능하면 이건 센트럴라인으로 주기)