Thyroidectomy Calcium Management Clinical Pathway — Inpatient and Outpatient Specialty Care
Thyroidectomy Calcium Management Clinical Pathway — Inpatient and Outpatient Specialty Care
Monitor for Symptoms of Hypocalcemia
Calcium homeostasis is regulated by parathyroid hormone (PTH) and vitamin D. PTH increases serum calcium through several mechanisms.
- Directly increases reabsorption in the distal renal tubule
- Stimulates 1-alpha-hydroxylase in the kidney
- 25-hydroxyvitamin D converts to 1, 25-dihydroxyvitamin D, active form
- Mobilizes calcium from the bone
Signs and Symptoms of Hypocalcemia | |
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