Republic of the Philippines

GOLDEN GATE COLLEGES

P.Prieto St. Batangas City
COLLEGE OF NURSING, CAREGIVING AND MIDWIFERY
___________________________________________________________________

GROUP 4: CALCIUM IMBALANCE

Masangcay, Don Alexis Z., Marilla Vanessa

Mandigma, Joseph. , Maranan Hazel

Manalo Mik Kevin. , & Mandocdoc Roveneth

1. Classify as:

HYPERCALCEMIA

2. What are some initial concerns?

The patient Myla is admitted to Metro San Jose Medical Center. The result of her blood calcium level is 13.9
mg/dL. She is complaining that she feels nausea, vomiting, weakness, and loss of appetite. The nurse observed
the patient and she said “Nanghihina ang katawan ko dahil suka ako nang suka” as verbalized by the patient. On
the assessment the vital signs of the patient are T: 37.5C, PR: 70bpm, RR: 18bpm, BP: 140/80mmHg.

NCP:
 NURSING
ASSESSMENT` PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
SUBJECTIVE: Imbalanced Short term Independent: Independent: The GOAL IS
“Nanghihina ang nutrition less than MET
katawan ko dahil body requirements Dependent: Dependent:
suka ako nang suka” related to Short term
as verbalized by the hypercalcemia as
patient. evidenced by long term
nausea, vomiting, Long term
OBJECTIVE: weakness, and loss
V/S of appetite
T: 37.5C
PR: 70bpm
RR: 18bpm
BP: 140/80mmHg

Calcium level: 13.9

mg/dL

+ facial grimace
+ abdominal pain
scale of 4/10

1. Classify as:

Moderate HYPOCALCEMIA
 2. What are some initial concerns?

Hypocalcemia is serum calcium levels below 8.5 mg/dL. Positive in clinical manifestation of (+) Trosseau’sign & (+)
Chvostek’s Sign and Renal Failure due to Vitamin D deficiency.

NCP:

NURSING
ASSESSMENT` PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
SUBJECTIVE: Hypocalcemia Short term Independent: Independent: The GOAL IS
related to renal MET
Patient verbalized as disease leading to after 2-3 hours of
``Masakit po ang vitamin D nursing intervention, Dependent: Short term
likod ko sa bandang inadequacy as patient relative will be Dependent:
may bewang, tapos evidence by renal Note for the
na hihirapan po dysfunction location, scale, Long term
akong umihi at long term intensity and onset
namamanhid po ang of pain
mga paa ko.” after 2-3 days of
nursing intervention,
patient will be

OBJECTIVE:
V/S
Bp: 90/70
PR:110
RR:20
Temp: 37.5
+ Trosseau’sign

+ Chvostek’s Sign

+ Pain - 6 over 10

+ Difficulty in
walking

+ Numbness on feet

+ Urine output less

than 30-40 ml per
hour

Rx:
 total serum
calcium
concentration <
8.6 mg/dL (<
2.2 mmol/L).