Hyperparathyroidism nursing review lecture of hyperparathyroidism symptoms, pathophysiology, causes, and nursing interventions. Hyperparathyroid is the excessive production of parathyroid hormone by the parathyroid gland. This parathyroid disorder leads to hypercalcemia and hypophosphatemia. Signs and symptoms of hyperparathyroidism include bone fractures, renal calcui, constipation, excessive urination, nausea, vomiting, epi-gastric pain, EKG changes (shorten QT interval) and lab values that reflect hypercalcemia and hypophosphatemia. Causes of this parathyroidism include primary hyperparathyroidism and secondary hyperparathyroidism. Primary hyperparathyroidism is caused by a malfunctioning parathyroid due to an adenoma, hyperplasia, or cancer. Secondary hyperparathyroidism is caused by a disease that affects the function of the parathyroid such as chronic kidney disease, hypocalcemia, and vitamin-d deficiency. Nursing interventions include monitoring vitals, straining urine for possible renal calcui, monitoring EKG, and administering medications as prescribed by the doctor. The goals of medication treatment in hyperparathyroidism are to decrease the calcium and PTH levels, and maintain hydration.

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