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Diseases » Hypoparathyroidism » Treatments
 

Treatments for Hypoparathyroidism

Treatments for Hypoparathyroidism

The list of treatments mentioned in various sources for Hypoparathyroidism includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Hypoparathyroidism: Is the Diagnosis Correct?

The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Hypoparathyroidism may include:

Hidden causes of Hypoparathyroidism may be incorrectly diagnosed:

  • Thyroid surgery - may accidentally remove the parathyroids.
  • Parathyroid surgery
  • Parathyroid inflammation
  • Congenital lack of parathyroid glands
  • more causes...»

Hypoparathyroidism: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Hypoparathyroidism:

Hypoparathyroidism: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Drugs and Medications used to treat Hypoparathyroidism:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Hypoparathyroidism include:

  • Calcium Carbonate
  • Alcalak
  • Alka-Mints
  • Amitone
  • Calcarb 600
  • Calci-Chew
  • Calci-Mix
  • Cal-Gest
  • Cal-Mint
  • Caltrate 600
  • Chooz
  • Florical
  • Mylanta Children's
  • Nephro-Calci
  • Os-Cal 500
  • Oysco 500
  • Oyst-Cal 500
  • Titralac
  • Titralac Extra Strength
  • Tums
  • Tums 500
  • Tums E-X
  • Tums Extra Strength Sugar Free
  • Tums Smooth Dissolve
  • Tums Ultra
  • Apo-Cal
  • Calcite-500
  • Caltrate Os-Cal
  • Calsan
  • Caltrate
  • Osteomin
  • Calcium Citrate
  • Cal-Citrate 250
  • Citracal
  • Osteocit
  • Calcium Glubionate
  • Calcinonate
  • Calciquid
  • Calcium-Sandoz
  • Ergocalciferol
  • Calciferol
  • Drisdol
  • Ostoforte

Latest treatments for Hypoparathyroidism:

The following are some of the latest treatments for Hypoparathyroidism:

Hospital statistics for Hypoparathyroidism:

These medical statistics relate to hospitals, hospitalization and Hypoparathyroidism:

  • 0.0008% (103) of hospital consultant episodes were for hypoparathyroidism in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 83% of hospital consultant episodes for hypoparathyroidism required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 30% of hospital consultant episodes for hypoparathyroidism were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 70% of hospital consultant episodes for hypoparathyroidism were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Hospitals & Medical Clinics: Hypoparathyroidism

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Hypoparathyroidism:

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Hypoparathyroidism, on hospital and medical facility performance and surgical care quality:

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Book Excerpts: Treatment of Hypoparathyroidism

Treatments of Hypoparathyroidism: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Hypoparathyroidism.

Hypocalcemia: Treatment
(In a Page: Signs and Symptoms)

  • Asymptomatic patients can be treated with oral calcium supplements plus vitamin D
  • If severe symptoms are present, administer 10% IV calcium gluconate and recheck calcium levels frequently
  • Change causative medications if possible
  • Treat underlying diseases as necessary (e.g., sepsis, pancreatitis, renal failure)
  • Correct other electrolyte abnormalities (e.g., hypomagnesemia)
  • Hypoalbuminemia may improve with adequate nutrition; however, there is no need to correct serum Ca2+, because the ionized calcium is normal
  • Hypoparathyroidism: Calcium carbonate supplementation of 1–2 g per day plus vitamin D supplementation
  • Vitamin D deficiency: Oral vitamin D or calcitriol (1,25-hydroxyvitamin D)
>

» READ BOOK EXCERPT ONLINE »

Source: In a Page: Signs and Symptoms, 2004

Hypocalcemia: Treatment
(In A Page: Pediatric Signs and Symptoms)

  • Acute correction of hypocalcemia: IV calcium gluconate (bolus or infusion) until Ca >7 mg/dL
  • Hypoparathyroidism
    –Oral calcium supplement (dose as elemental calcium)
    –1,25-(OH)2-vitamin D analog (calcitriol)
    • Vitamin D deficiency (nutritional rickets)
      –25-OH-vitamin D analog (ergocalciferol) 2,000–4,000 IU/day
      –Oral calcium supplement (dose as elemental calcium) to prevent “hungry bone syndrome”
  • Hypomagnesemia
    –Treat with magnesium supplementation
  • Drugs
    –Discontinue offending agents if possible
  • Goals of management
    –Hypoparathyroidism: Maintain calcium at 8–9 mg/dL to avoid nephrocalcinosis
    –Vitamin D deficiency: Maintain normal calcium range
>

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Chvostek's sign: Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))

Test for Trousseau's sign, a reliable indicator of hypocalcemia. Closely monitor the patient for signs of tetany, such as carpopedal spasms or circumoral and extremity paresthesia.

Be prepared to act rapidly if a seizure occurs. Perform an electrocardiogram to check for changes associated with hypocalcemia that can predispose the patient to arrhythmias. Place the patient on a cardiac monitor.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Signs & Symptoms (Third Edition), 2006

Hypoparathyroidism: Treatment
(Professional Guide to Diseases (Eighth Edition))

Because calcium absorption from the small intestine requires the presence of vitamin D, treatment includes vitamin D and calcium supplements. Therapy is usually lifelong, except for the reversible form of the disease. If the patient can’t tolerate the pure form of vitamin D, alternatives include dihydrotachysterol, if hepatic and renal function is adequate, and calcitriol, if it’s severely compromised. In patients with preexisting hypomagnesemia, this condition must be corrected to treat the resulting hypocalcemia. A high-calcium, low-phosphorous diet is recommended.

Acute life-threatening tetany requires immediate I.V. administration of calcium to raise serum calcium levels. The patient who’s awake and able to cooperate can help raise serum calcium levels by breathing into a paper bag and then inhaling his own carbon dioxide; this produces hypoventilation and mild respiratory acidosis. Sedatives and anticonvulsants may control spasms until calcium levels rise. Chronic tetany requires maintenance therapy with oral calcium and vitamin D supplements.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Chvostek's sign: Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))

Test for Trousseau’s sign, a reliable indicator of hypocalcemia. Closely monitor the patient for signs of tetany, such as carpopedal spasms or circumoral and extremity paresthesia.

Be prepared to act rapidly if a seizure occurs. Perform an electrocardiogram to check for changes associated with hypocalcemia that can predispose the patient to arrhythmias. Place the patient on a cardiac monitor.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

Thyroid enlargement: Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))

Instruct the patient to watch for signs and symptoms of hypothyroidism, such as lethargy, restlessness, dry skin, and sensitivity to cold. Advise the patient with Graves’disease to use artificial tears frequently if proptosis causes his eyes to become dry. If the hyperthyroid patient is receiving therapy with radioactive iodine, tell him not to expectorate or cough freely after treatment because his saliva is radioactive for 24 hours.

Inform the patient that lifelong thyroid hormone replacement therapy is necessary after thyroidectomy or radioactive destruction of the thyroid gland. Tell him to watch for signs of an overdose, such as nervousness and palpitations.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

Hypoparathyroidism: Treatment
(Handbook of Diseases)

Because calcium absorption from the small intestine requires the presence of vitamin D, treatment includes vitamin D and calcium supplements. Such therapy is usually lifelong, except for the reversible form of the disease.

If the patient can’t tolerate vitamin D because of hepatic or renal problems, calcitriol may be used.

Acute, life-threatening tetany requires immediate I.V. administration of 10% calcium gluconate to raise serum calcium levels. The patient who’s awake and able to cooperate can help raise serum calcium levels by breathing into a paper bag and then inhaling his own carbon dioxide; this produces hypoventilation and mild respiratory acidosis.

Sedatives and anticonvulsants may control spasms until calcium levels rise. Chronic tetany requires maintenance therapy with oral calcium and vitamin D supplements.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Chvostek's sign: Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Test for Trousseau’s sign, a reliable indicator of hypocalcemia. Closely monitor the patient for signs of tetany, such as carpopedal spasms or circumoral and extremity paresthesia.

Be prepared to act rapidly if a seizure occurs. Perform an electrocardiogram to check for changes associated with hypocalcemia, which can predispose the patient to arrhythmias. Place the patient on a cardiac monitor.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Thyroid enlargement: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Instruct the patient to watch for signs and symptoms of hypothyroidism, such as lethargy, restlessness, dry skin, and sensitivity to cold. If the patient has Graves’disease, proptosis may cause his eyes to become dry, so advise him to use artificial tears frequently. If the hyperthyroid patient is receiving therapy with radioactive iodine, tell him not to expectorate or cough freely after treatment because his saliva is radioactive for 24 hours. If the patient has a goiter, support him as he expresses his feelings related to his appearance.

After thyroidectomy or radioactive destruction of the thyroid gland, explain to the patient that lifelong thyroid hormone replacement therapy is necessary. Tell him to watch for signs of overdose, such as nervousness and palpitations.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Chvostek's sign: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Collect blood samples for serial calcium studies to evaluate the severity of hypocalcemia and the effectiveness of therapy.

▪ Administer oral or I.V. calcium supplements.

▪ Assess for Chvostek's sign when evaluating a patient postoperatively.

Patient teaching

▪ Explain to the patient the early signs and symptoms of hypocalcemia that require immediate medical attention.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007

Thyroid enlargement: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Prepare the patient for diagnostic tests, which may include needle aspiration, ultrasound, and radioactive thyroid scanning.

▪ Prepare the patient for surgery or radiation therapy, if necessary.

▪ Provide specific interventions, depending on whether the patient is hypothyroid or has thyroiditis.

▪ Provide postoperative care for the patient who has undergone thyroidectomy.

Patient teaching

▪ Explain the underlying disorder and treatment plan.

▪ Explain the signs and symptoms of hypothyroidism to report.

▪ Explain posttreatment precautions to the patient undergoing radioactive iodine therapy.

▪ Teach thyroid hormone replacement therapy and signs of thyroid hormone overdose to report.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007



 » Next page: Doctors and Medical Specialists for Hypoparathyroidism

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