Hypoparathyroidism in Emergency Medicine Follow-up

Updated: Aug 05, 2015
  • Author: Agnieszka Gliwa, MD; Chief Editor: Erik D Schraga, MD  more...
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Follow-up

Further Outpatient Care

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  • High-calcium diet
  • Calcium supplementation
  • Calcitriol
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Further Inpatient Care

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  • Effects of 1 bolus of intravenous calcium will wane after 2 hours; therefore, subsequent continuous infusion is required to control hypocalcemia.
  • Cardiac monitoring is indicated for patients with hypoparathyroidism.
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Complications

Complications of hypoparathyroidism may include the following:

  • Neuromuscular symptoms
  • Cataracts [24]
  • Intracranial calcifications [41, 42]
  • Growth stunting (with HDR syndrome) [48]
  • Tooth malformation [39]
  • Mental retardation (with HDR syndrome) [48]
  • Hypothyroidism
  • Cardiomyopathy [46]
  • Parkinsonian symptoms [49]
  • Ossification of paravertebral ligaments [40]
  • Adhesive capsulitis [50]
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Prognosis

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  • Prognosis is determined by the underlying cause of hypoparathyroidism.
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Patient Education

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  • Educate patients concerning regulation and effects of calcium on the body.
  • Educate patients about the importance of periodic blood chemistry evaluation.
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