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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