RESUMO
Primary hyperparathyroidism is a common endocrine disorder that results in elevated levels of parathyroid hormone and subsequent hypercalcaemia. Nurses have an important role in the support, education and care of the older person undergoing surgical or conservative treatment. Knowledge of pathophysiology is essential to ensure complications of hyperparathyroidism are identified promptly and managed appropriately alongside existing healthcare needs.
Assuntos
Hipercalcemia/enfermagem , Hiperparatireoidismo Primário/enfermagem , Papel do Profissional de Enfermagem , Absorciometria de Fóton , Alendronato/uso terapêutico , Densidade Óssea , Conservadores da Densidade Óssea/uso terapêutico , Humanos , Hipercalcemia/diagnóstico , Hipercalcemia/etiologia , Hipercalcemia/terapia , Hiperparatireoidismo Primário/complicações , Hiperparatireoidismo Primário/diagnóstico , Hiperparatireoidismo Primário/terapia , Testes de Função Renal , ParatireoidectomiaAssuntos
Adenoma/diagnóstico , Adenoma/enfermagem , Hiperparatireoidismo Primário/diagnóstico , Hiperparatireoidismo Primário/enfermagem , Neoplasias das Paratireoides/diagnóstico , Neoplasias das Paratireoides/enfermagem , Adenoma/cirurgia , Idoso , Humanos , Hipercalcemia/diagnóstico , Hipercalcemia/enfermagem , Hipercalcemia/cirurgia , Hiperparatireoidismo Primário/cirurgia , Masculino , Neoplasias das Paratireoides/cirurgia , Resultado do TratamentoRESUMO
Primary hyperparathyroidism is the third most common endocrine condition. Initial symptoms can be vague, leading to problems in other body systems before diagnosis; if it remains undiagnosed, it can lead to a life threatening parathyroid crisis. This in itself provides challenges to nurses working in surgical and endocrine specialties, and a thorough understanding of physiology is essential to ensure safe practice and promote good patient outcomes. This article discusses the pathophysiology of primary hyperparathyroidism and the care of patients with the condition.
Assuntos
Hiperparatireoidismo Primário/enfermagem , Hiperparatireoidismo Primário/cirurgia , Paratireoidectomia/enfermagem , Assistência Perioperatória , Adolescente , Cálcio/metabolismo , Feminino , Homeostase , Humanos , Hiperparatireoidismo Primário/complicações , Hiperparatireoidismo Primário/diagnóstico , Hiperparatireoidismo Primário/metabolismo , Monitorização Fisiológica/enfermagem , Papel do Profissional de Enfermagem , Paratireoidectomia/efeitos adversos , Paratireoidectomia/métodos , Alta do Paciente , Educação de Pacientes como Assunto , Assistência Perioperatória/métodos , Assistência Perioperatória/enfermagemRESUMO
PURPOSE: This paper reviews the effect of chronic lithium therapy on serum calcium level and parathyroid glands, its pathogenesis, and treatment options. We examined the case of a lithium-treated patient who had recurrent hypercalcemia to better understand the disease process. CONCLUSION: Primary hyperparathyroidism is a rare but potentially life-threatening side effect of long-term lithium therapy. Careful patient selection and long-term follow-up can reduce morbidity. PRACTICAL IMPLICATIONS: As much as 15% of lithium-treated patients become hypercalcemic. By routinely monitoring serum calcium levels, healthcare providers can improve the quality of life of this patient group.