Disorders of the Thyroid Gland.docx

**Thyroid/Parathyroid Alterations:** **[Anatomy and Physiology:]** **Thyroid Gland:** - - - - - - - - - **Parathyroid gland:** - - - - - **[Disorders of the Parathyroid Gland:]** **Hyperparathyroidism:** - - - **Clinical Manifestations and Complicati...

**Thyroid/Parathyroid Alterations:** **[Anatomy and Physiology:]** **Thyroid Gland:** - - - - - - - - - **Parathyroid gland:** - - - - - **[Disorders of the Parathyroid Gland:]** **Hyperparathyroidism:** - - - **Clinical Manifestations and Complications:** - - - - - **Diagnostics:** **Serum PTH:** **Serum Calcium:** **Serum Phosphate:** **Urine Calcium:** **Bone Density** ---------------- -------------------- ---------------------- -------------------- ------------------ ⬆ ⬆ ⬇(**2.5-4.5**) ⬆ ⬇ **Management:** - - - - - - - - - **Pharmacology:** +-----------------------------------+-----------------------------------+ | **Loop Diuretics: Furosemide** | increases the urinary excretion | | | of calcium | +===================================+===================================+ | **Bisphosphonates: | **inhibits osteoclastic bone | | Alendronate(Fosamax)** | resorption**, normalizing serum | | | calcium levels and improving bone | | | mineral density; **IV | | | bisphosphonates** can rapidly | | | decrease dangerous calcium levels | | | | | | **N/C:** | | | | | | **Take with a full glass of | | | water, 30 min before a meal, and | | | don\'t lay down for at least 30 | | | minutes** | +-----------------------------------+-----------------------------------+ | **Phosphates** | **given for low phosphate | | | levels**; watch for renal | | | function | +-----------------------------------+-----------------------------------+ **Nursing Management:** - - - - \*\*update for panopto video watchers: calcium and magnesium are directly related so that\'s why they show the same signs and symptoms if it\'s high or low. Sorry for the confusion ahaha I knew I was somewhat on the right tract\*\* - **Chvostek\'s AND Trousseau's = hypocalcemia** **Hypoparathyroidism** - - - **Clinical Manifestations:** - - - - **Serum PTH:** **Serum Calcium:** **Serum Phosphate:** ---------------- -------------------- ---------------------- ⬇(**10-65**) ⬇ ⬆(**2.5-4.5**) **Nursing Management: Hypoparathyroidism** - - **[Disorders of the Thyroid Gland]** - **Hyperthyroidism** - - - - - - **Clinical Manifestations: CAN LEAD TO A THYROID STORM!!** - - - - - - - - - - - **Diagnostics:** - - **Interventions:** - - - - - - - - - - - - **[Hypothyroidism]** - - - - - **Clinical Manifestations:** - - - - - - - - - - - - **Diagnostics:** - - - - - - **Management:** - - - - - **Nursing Management: Hypothyroidism** - - - - -