Management for

Hypoparathyroidis
m

MEDICAL MANAGEMENT

Increase serum calcium

level

Increase calcium level to 9-10 mg/dL

Eliminate the symptoms of Hypoparathyroidism

and hypocalcemia

Administration of Calcitrol, calcium, magnesium

and Vitamin D

A thiazide diuretic may be administered to help

decrease urinary calcium urinary excretion

If osteoporosis occurs, recombinant parathyroid

hormone may be administered

Chronic
Hypoparathyroidism

Diet high in calcium and low in phosphorus

Oral tablets of calcium salts such as calcium

gluconate for diet supplementation

Aluminum hydroxide gel or aluminum carbonate

combined with meals to bind phosphate and
promote excretion through GI tract

NURSING MANAGEMENT

Early detection of hypocalcemia, tetany,

seizures and respiratory difficulties for patients
who
undergone
thyroidectomy
and
parathyroidectomy

Calcium
gluconate
administration

Continuous cardiac monitoring for patients with

cardiac disorders

Patient education about medications and diet

IV

for

emergency